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目的分析剖宫产术后子宫瘢痕妊娠的临床特征及治疗结果,为临床诊断和处理本病提供依据。方法对12例剖宫产术后子宫瘢痕妊娠患者的一般资料以及治疗结果进行回顾性分析。结果12例患者均经B超确诊,其中保守治疗成功11例,占91%;1例失败而行全子宫切除术。结论有剖宫产史的妇女因停经就诊时,要常规行阴道超声检查,对阴道超声怀疑切口妊娠的病例,有必要行彩色多普勒超声检查。甲氨喋呤加清宫术是治疗子宫瘢痕妊娠的主要方法,可有效地避免子宫切除。
Objective To analyze the clinical features and treatment results of uterine scar pregnancy after cesarean section, and provide the basis for clinical diagnosis and treatment of this disease. Methods A retrospective analysis of 12 cases of uterine scar pregnancy after cesarean section in patients with general information and treatment results were retrospectively analyzed. Results All the 12 patients were diagnosed by B ultrasound, of which 11 cases were conservative treatment, accounting for 91%. One case failed hysterectomy. Conclusions Women with history of cesarean section should undergo routine ultrasound examination of the vagina during their menopause, and color Doppler ultrasonography may be necessary in cases of incisional pregnancy suspected of vaginal ultrasound. Methotrexate plus curettage is the treatment of uterine scar pregnancy the main method can effectively avoid hysterectomy.