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目的探讨剖宫产瘢痕部位妊娠的早期诊断和治疗。方法回顾性分析我院2006年9月—2010年3月收治的15例剖宫产瘢痕妊娠病例的诊断和治疗方法。结果 5例患者首次就诊在我院经血β-hCG测定、阴道彩超确诊,10例首次就诊在外院诊断为宫内孕直接行人工流产,6例因发生大出血终止手术转入我院,4例为多次清宫术后阴道淋漓出血转入我院,后经阴道彩超和血β-hCG诊断。11例接受药物、清宫等保守性治疗,3例接受介入治疗加清宫术,1例手术治疗,所有患者均好转或痊愈出院。结论通过对剖宫产瘢痕妊娠认识的提高,以及超声检查技术和宫腔镜的发展,可提高该病的诊疗水平。
Objective To investigate the early diagnosis and treatment of cesarean scar pregnancy. Methods Retrospective analysis of 15 cases of cesarean scar pregnancy in our hospital from September 2006 to March 2010 were diagnosed and treated. Results The first visit of 5 patients was diagnosed by β-hCG in our hospital and diagnosed by vaginal ultrasonography in 10 cases. The first visit was diagnosed by intrauterine pregnancy in 10 cases. The abortion was performed directly in 6 cases. Multiple postoperative vaginal bleeding dripping into our hospital, after vaginal ultrasound and blood β-hCG diagnosis. Eleven patients received conservative treatment such as drugs and Qing dynasties. Three patients received interventional therapy plus radical hysteroscopy and one patient was surgically treated. All patients were recovered or recovered. Conclusions The improvement of pregnancy awareness of cesarean scar and the development of ultrasound and hysteroscopy can improve the diagnosis and treatment of the disease.