摘要
Abstract
Objective To analyze the effects of hysteroscopic resection in treatment of uterine incision pregnancy after intramuscular injection of methotrexate (MTX) and oral mifepristone in the treatment of uterine incision pregnancy.Methods A total of 46 patients with uterine incision pregnancy in our hospital were selected as the research subjects.They all received intramuscular injection of MTX and were administered with oral mifepristone,and then received hysteroscopic resection.The indicators relating to the surgical treatment were all monitored,including the operation time,the intraoperative blood loss,the time for β-HCG to drop to normal level,the postoperative menstruation time and the hysterectomy rate;the effects of surgical treatment were assessed,and the incidences of postoperative complications were counted statisticallv.Results Operations were carried out on the 46 patients,with a success rate of 100％.The average operation time was (33.57±6.92)min,the average blood loss was (29.56±6.22)ml,the average time for β-HCG to drop to normal was (15.59±2.76)d,and the average postoperative menstruation time was (36.31 ± 4.45)d,with hysterectomy on nobody.After the operation,there was vaginal bleeding in two cases,faint abdominal pain in one case,and fever in one case.and the total incidence of postoperative complications was 8.70％.Conclusion Intramuscular injection of MTX and oral mifepristone after hysteroscopic resection in the treatment of uterine incision pregnancy have significant effects,with less bleeding in the operation and less complications after the operation,and the uterus of the patients can be retained.关键词
子宫切口妊娠/宫腔镜/电切术/甲氨蝶呤/米非司酮Key words
uterine incision pregnancy/hysteroscopy/hysteroscopic resection/methotrexate/mifepristone分类
医药卫生
