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妊娠囊内结合肌注甲氨蝶呤治疗剖宫产瘢痕妊娠临床分析

周甦玉 王小汤

中国妇幼健康研究2015,Vol.26Issue(4):772-773,2.
中国妇幼健康研究2015,Vol.26Issue(4):772-773,2.DOI:10.3969/j.issn.1673-5293.2015.04.39

妊娠囊内结合肌注甲氨蝶呤治疗剖宫产瘢痕妊娠临床分析

Clinical analysis of intracapsular injection of MTX combined with intramuscular injection on treatment of cesarean scar pregnancy

周甦玉 1王小汤1

作者信息

  • 1. 浙江省嵊州市人民医院,浙江嵊州312400
  • 折叠

摘要

Abstract

Objective To observe the clinical efficacy of intracapsular injection of methotrexate ( MTX ) combined with intramuscular injection on the treatment of cesarean scar pregnancy.Methods From February 2013 to February 2014 60 cases of cesarean scar pregnancy admitted in People' s Hospital of Shengzhou City of Zhejiang Province were selected as subjects, and they were divided into control group and observation group.The control group was given intramuscular injection of MTX, while the observation group accepted intramuscular and intracapsular injection of MTX.The therapeutic effects, time to restore normalβ-hCG, mass absorption time and hospitalization time were compared between two groups.Results The total effective rate in the observation group (93.33%) was significantly higher than that in the control group (70.00%) (χ2 =5.46, P<0.05).The β-hCG recovery time, mass absorption time, menstrual recovery time and hospitalization time in the observation group were significantly lower than those in the control group (t value was 10.77, 6.18, 4.09 and 20.30, respectively, all P<0.05).Conclusion Intracapsular injection combined with intramuscular injection of MTX for the treatment of cesarean scar pregnancy can obtain definite efficacy, and it is worthy of clinical promotion.

关键词

剖宫产术/子宫疤痕妊娠/甲氨蝶呤/囊内注射/肌肉注射

Key words

cesarean section/uterine scar pregnancy/methotrexate ( MTX)/intracapsular injection/intramuscular injection

分类

医药卫生

引用本文复制引用

周甦玉,王小汤..妊娠囊内结合肌注甲氨蝶呤治疗剖宫产瘢痕妊娠临床分析[J].中国妇幼健康研究,2015,26(4):772-773,2.

中国妇幼健康研究

OACSTPCD

1673-5293

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