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目的分析剖宫产术后子宫瘢痕处妊娠(CSP)的诊断及治疗方法。方法回顾性分析45例剖宫产术后子宫瘢痕处妊娠患者的临床资料,总结和分析其临床表现、诊断及治疗方法 ,旨在为临床诊疗提供依据。结果本组45例患者中,5例患者误诊为早期先兆流产采用刮宫术进行治疗,11例血β-HCG水平<2000 U/L的患者采用药物疗法进行治疗,其余29例患者均进行手术治疗,其中13例采用腹腔镜下局部病灶切除联合子宫切口修补术进行治疗,16例患者采用子宫动脉栓塞术联合刮宫术进行治疗,所有患者术后均完全恢复。结论根据剖宫产瘢痕妊娠患者的具体情况合理采用药物疗法、刮宫术及手术治疗等综合治疗具有良好的疗效,安全性高,值得在临床上进一步推广。
Objective To analyze the diagnosis and treatment of uterine scar pregnancy after cesarean section (CSP). Methods The clinical data of 45 pregnant women with uterine scar after cesarean section were retrospectively analyzed. The clinical manifestations, diagnosis and treatment were summarized and analyzed in order to provide evidence for clinical diagnosis and treatment. Results Of the 45 patients in this study, 5 patients were misdiagnosed as having early threatened abortion with curettage, 11 patients with blood β-HCG level of 2000 U / L were treated with drug therapy, and the remaining 29 patients underwent surgical treatment , Of which 13 cases were treated by laparoscopic local lesion resection combined with uterine incision repair. 16 cases were treated by uterine artery embolization combined with curettage, and all patients recovered completely after operation. Conclusion According to the specific conditions of patients with cesarean scar pregnancy rational use of drug therapy, curettage and surgical treatment and other comprehensive treatment has good efficacy, high safety, it is worth further promotion in the clinic.