改良吸宫术联合甲氨蝶呤治疗表浅型子宫瘢痕妊娠16例分析  

Clinical analysis of modified uterine aspirationg combined with Methtrexate in the treatment for endogenous cesarean scar pragnancy in 16 cases

作　　者：马雪枫[1] 张洁[1] 孙静[1] 刘格[1] 

机构地区：[1]深圳市宝安区妇幼保健院妇科,广东深圳518000

出　　处：《中国计划生育和妇产科》2013年第5期59-61,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的初步探讨改良吸宫术联合甲氨蝶呤(methtrexate,MTX)治疗表浅型子宫瘢痕妊娠(cesarean scar pregnancy,CSP)的有效性和安全性。方法回顾分析16例诊断为表浅型CSP患者,征得患者同意,在充分的开腹手术准备下,采用改良吸宫术联合MTX治疗,观察手术成功率、术中出血量、操作时间、住院时间以及随访情况。结果 16例患者均取得成功,手术操作时间6～8 min,术中出血65～120 mL,住院时间6～10 d,随访时间4～6个月,随访期间1例患者因阴道流血再次住院,经止血预防感染等保守治疗成功。结论改良吸宫术联合MTX治疗表浅型CSP是一种有效、安全、微创的方法。Objective To study the effectiveness and safety of modified uterine aspiration combined with Methotrexate（MTX） in the treatment for cesarean scar pregnancy. Methods A retrospective analysis of 16 patients with a diagnosis of endogenous cesarean scar pregnancy and under intramuscular MTX, 50 mg combined with modified negative pressure aspiration of uterus by ultrasound - guided was made. The data of the operation success rate, the amount of bleeding in operation, operation time, hospital stay and follow - up status were observed. Results All of 16 cases were performed successfully and the operation time was 6 - 8 minutes, intraoperative bleeding was 65- 120 mL, hospitalization time was 6 - 10 days, follow - up time was 4 -6 months. During follow - up period, 1 patient with vaginal bleeding again discharged hemostasis and was treated by conservative treatment such as prevention of infection and others. Conclusion The new - style uterine aspiration combined with MTX is effective, safe, minimally invasive method for endogenous cesarean scar pregnancy.

关 键 词：子宫瘢痕妊娠 表浅型 改良吸宫术 甲氨蝶呤 

分 类 号：R714.2[医药卫生—妇产科学]