摘要
目的探讨切口部位瘢痕妊娠的诊断与治疗。方法对我院2009年1月—2013年3月收治的24例切口部位瘢痕妊娠病人进行分析。结果 24例剖宫产后瘢痕妊娠病人经在多普勒超声(CDFI)引导下孕囊内注射甲氨蝶呤配合口服米非司酮治疗后,21例顺利康复出院,3例因β-HCG下降不明显或进行性升高行病灶清除或转上级医院行介入治疗。结论切口部位瘢痕妊娠早期可采取保守治疗。
Objective To explore the diagnosis and treatment of cesarean scar pregnancy （CSP）. Methods An analy sis was done in 24 patients with CSP hospitalized from January 2009 to March 2013. Results All the patients were treated with CDFI-guided intra gestational sac injection of methotrexate （MTX） plus oral Mifepristone, of whom, 21 smoothly recovered and discharged, three underwent focus clearances or were transferred to a higher level hospital for interventional therapy because of HCG failed to decline or progressively elevated. Conclusion A conservative therapy can be used for cesarean scar pregnancy in the early stage.
出处
《齐鲁医学杂志》
2014年第4期347-348,共2页
Medical Journal of Qilu
关键词
瘢痕妊娠
甲氨蝶呤
米非司酮
治疗结果
cesarean scar pregnancy
methotrexate
mifepriston treatment outcome
