甲氨蝶呤局部注射治疗剖宫产瘢痕妊娠15例
姜慧君,龚世雄
摘要(Abstract):
目的:探讨甲氨蝶呤(MTX)局部注射治疗剖宫产术后子宫瘢痕处妊娠(CSP)的价值。方法:15例CSP患者先期采用B超引导下羊膜腔内注射MTX及妊娠部位局部注射MTX,再根据具体情况分别采用B超介导下清宫术、B超监测宫腔镜下电切术、子宫动脉介入治疗后清宫术或开腹剖宫手术。结果:15例CSP患者治疗均获成功,未发生大出血,且全部保留了生育功能。结论:B超引导MTX局部注射是治疗剖宫产瘢痕妊娠的有效措施。
关键词(KeyWords):
子宫;瘢痕;妊娠;甲氨蝶呤
基金项目(Foundation):
作者(Author):
姜慧君,龚世雄
DOI: 10.19367/j.cnki.1000-2707.2012.03.026
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