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目的:分析研究剖宫产后切口妊娠临床诊治的方法和治疗效果。方法:选择于2015年12月到2016年3月期间在我院进行剖宫产切口妊娠治疗的44例病患为研究对象,搜集整理这44例病患的临床治疗资料,并展开全面分析。结果:44例病患中有37例通过阴道超声检查或彩色多普勒检查确诊病情;其中,有31例初诊出现失误,误诊率为70.4%,44例病患中有40例选择保守治疗,治愈41例,治愈率为97.5%;4例治疗失败改行全子宫切除。结论:在接收有剖宫产病史因停经就医的病患时,医师要对其进行常规阴道超声检查,当超声结果有切口妊娠质疑的病患,需要进行彩色多普勒超声检查;彩色多普勒超声检查主要是为了对切口妊娠的病情进行诊断;对切口妊娠进行治疗时可选择甲氨蝶呤清宫术,可减小子宫切除的发生几率。
Objective: To analyze the clinical diagnosis and treatment of cesarean section incisional pregnancy and its therapeutic effect. Methods: Forty-four patients who underwent cesarean section pregnancy in our hospital from December 2015 to March 2016 were enrolled in this study. The clinical data of 44 patients were collected and analyzed comprehensively. Results: Among the 44 patients, 37 cases were diagnosed by vaginal ultrasonography or color Doppler examination. Among them, 31 cases were newly diagnosed with mistakes, the rate of misdiagnosis was 70.4%, 40 cases of 44 cases were conservative treatment, 41 cases were cured, the cure rate was 97.5%; 4 cases failed to switch to hysterectomy. CONCLUSIONS: When receiving a patient with a history of caesarean section due to menopause, physicians routinely perform a routine vaginal ultrasound examination and color Doppler sonography is required for those patients with suspected ultrasound results of incisional pregnancy. Color doppler Le son ultrasound is mainly to diagnose the condition of incisional pregnancy; the treatment of incision pregnancy can choose methotrexate curettage, can reduce the incidence of hysterectomy.