ĐIỀU TRỊ CHỬA TRÊN SẸO MỔ LẤY THAI BẰNG PHƯƠNG PHÁP TIÊM METHOTREXATE PHỐI HỢP HÚT THAI TẠI BỆNH VIỆN PHỤ SẢN HÀ NỘI

Abstract

Ceasarean scar pregnancy beyond 8weeks gestation has not yet had a unified treatment regimen. Objective: The purpose of this study is to evaluate the results of treatment of CSP between 8-10 weeks gestation by vacumn aspiration alone and in combination with methotrexate. Material and methods: A prospective cross-sectional study at Hanoi Obstetrics and Gynecology Hospital. Patients diagnosed CSP between 8 -10 weeks gestation, with uterine myometrial thickness > 2mm are evaluated the possibility of bleeding. High-risk cases of bleeding will be treated by MTX injections systematically and locally then all aspirated. Results: Intra-amniotic and systemic injection of MTX resulted in an average decrease of βhCG of 135,673 mIU/ml. The treatment success rate of the aspiration group alone was 93.1%, the combination group was 70%, the overall success rate was 87.2%. Conclusion: The method of aspiration alone and the combination with MTX is an effective treatment for CSP between 8-10 weeks gestation.