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目的探讨剖宫产术后子宫瘢痕处妊娠临床特点和诊治方法,提高对该病的认识和治疗水平。方法对我院近年来收治27例剖宫产术后瘢痕处妊娠患者的临床诊疗过程进行回顾性分析。结果子宫瘢痕处妊娠发病率低,但出血等并发症危重,我科27例患者中,大部分采用1-2种或以上的综合治疗,其中24例成功保留子宫,3例经切除子宫后痊愈。结论对剖宫产术后子宫瘢痕处妊娠应做到早期诊断,实施个体化治疗,减少子宫破裂、大出血等危及患者生命的并发症,保留患者的生育能力。预防的关键是严格掌握剖宫产指征,提高剖宫产手术质量,术后加强预防感染治疗。
Objective To investigate the clinical features, diagnosis and treatment of pregnancy after uterine scarring after cesarean section and to improve the level of understanding and treatment of the disease. Methods A retrospective analysis was performed on the clinical diagnosis and treatment of 27 pregnant women with scar after cesarean section in our hospital in recent years. Results The incidence of pregnancy in uterine scar was low, but complications such as bleeding were serious. Among the 27 patients in our department, most of them used 1-2 kinds of combined treatment or above, in which 24 cases successfully retained the uterus and 3 cases recovered after uterine resection . Conclusion Pregnancy in uterine scar after cesarean section should be diagnosed early, and individualized treatment should be implemented to reduce the complications of life threatening such as uterine rupture and hemorrhage, and to keep the patient’s fertility. The key is to strictly control the indications of cesarean section to improve the quality of cesarean section surgery, postoperative prevention and treatment to strengthen prevention.