肌肉注射mtx后清宫术治疗剖宫产瘢痕妊娠效果分析

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1、目录中文摘要···································································································1英文摘要···································································································3研究论文肌肉注射MTX后清宫术治疗剖宫产瘢痕妊娠效果分析前言··································

2、·································································6资料与方法······························································································7结果···································································································10附表···

3、································································································12讨论···································································································15结论·······································································

4、····························19参考文献···································································································20综述剖宫产瘢痕妊娠的诊治进展································································22致谢·························································

5、··········································32个人简历···································································································33肌肉注射MTX后清宫术治疗剖宫产瘢痕妊娠效果分析摘要目的：剖宫产瘢痕妊娠是指有剖宫产史的妇女再次妊娠时，由于胚胎着床于前次剖宫产的子宫瘢痕处而造成的一种特殊类型的异位妊娠。本研究通过分析采取子宫动脉栓塞介入联合清宫术、肌肉注射甲氨蝶呤（Methotr

6、exate，MTX）联合清宫术以及米非司酮联合米索前列醇药物联合清宫术三种不同治疗方案对剖宫产瘢痕妊娠患者的疗效，期望为提升剖宫产瘢痕妊娠的疗效提供理论依据。方法：对2015年1月～2017年1月在我院接受治疗的90例剖宫产瘢痕妊娠患者的临床资料进行回顾性分析，根据患者的治疗方式将其分为A组（28例）、B组（33例）和C组（29例），A组患者采取子宫动脉栓塞介入联合清宫术治疗，B组患者采取肌肉注射MTX联合清宫术治疗，C组患者使用米非司酮和米索前列醇药物联合清宫术治疗，对比三组患者的临床资料、临床治疗指标、临床治疗效果以及治疗后的不良反应发生

7、率。结果：通过对三组患者的临床资料进行比较，结果显示三组患者在年龄、孕次、产次以及妊娠囊直径、妊娠周数以及超声分型等各项临床资料的比较中差异无统计学意义（P＞0.05），三组资料具有可比性。通过对三组患者的临床指标进行比较，结果发现A组患者的出血量、月经恢复时间、血HCG下降至正常时间以及住院时间分别为（75.81±15.59）mL、（80.44±16.98）d、（20.03±5.17）d和（25.78±4.86）d，B组患者的出血量、月经恢复时间、血HCG下降至正常时间以及住院时间分别为（62.11±13.54）mL、（57.73±12.2

8、6）d、（16.31±4.49）d和（18.01±3.37）d，C组患者的出血量、月经恢复时间、血HCG下降至正常时间以及住院时间分别为（97.74±19.94）m