摘要
目的分析肌内注射甲氨蝶呤(MTX)、口服米非司酮后行宫腔镜电切术治疗子宫切口妊娠的效果。方法以医院收治的46例子宫切口妊娠患者为研究对象,均肌内注射MTX、口服米非司酮后行宫腔镜电切术治疗。监测患者的手术治疗相关指标(包括手术时间、术中出血量、β-HCG降至正常时间、术后月经来潮时间及子宫切除率),评价手术治疗效果,并统计术后相关并发症的发生率。结果本组46例均顺利实施手术,手术成功率为100%。患者平均手术时间为(33.57±6.92)min,平均术中出血量(29.56±6.22)ml,平均β-HCG降至正常时间(15.59±2.76)d,平均术后月经来潮时间(36.31±4.45)d,无一例行子宫切除术。术后阴道出血2例,下腹部隐胀痛1例,发热1例,术后并发症的总发生率为8.70%。结论肌内注射MTX、口服米非司酮后行宫腔镜电切术治疗子宫切口妊娠的效果显著,具有术中出血量少,并发症少,保留患者子宫等优点。
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 statistically. 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 茁 -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.
出处
《西南国防医药》
CAS
2017年第2期172-175,共4页
Medical Journal of National Defending Forces in Southwest China
关键词
子宫切口妊娠
宫腔镜
电切术
甲氨蝶呤
米非司酮
uterine incision pregnancy
hysteroscopy
hysteroscopic resection
methotrexate
mifepristone
