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目的:探讨剖宫产切口妊娠患者的临床诊治方法及效果。方法:选取我院收治的剖宫产切口妊娠患者20例进行分析,根据临床症状和诊断结果,采用药物和手术治疗方案,观察患者的临床治疗效果。结果:12例患者采用药物保守治疗,成功治愈11例,占比91.7%。8例患者采用手术治疗,其中6例行瘢痕切除修补术,2例行子宫全切术,成功治愈率达到100%。患者手术时间(72.5±10.4)分钟,住院时间(7.2±1.0)天,术后发生切口感染1例,占比12.5%,经对症治疗后好转出院。结论:对于剖宫产切口妊娠患者而言,使用超声检查具有较高的准确率。药物保守治疗和手术治疗均具有良好的疗效,能够显著控制出血,改善临床症状,应根据患者的病情合理选用。
Objective: To investigate the clinical diagnosis and treatment of cesarean section pregnancy and its effect. Methods: Twenty cases of cesarean section pregnancy admitted to our hospital were selected for analysis. According to the clinical symptoms and diagnosis, medication and surgical treatment were used to observe the clinical effect of the treatment. Results: Twelve patients were treated conservatively and 11 cases were successfully cured, accounting for 91.7%. Eight patients were treated by surgery. Among them, 6 patients underwent scar excision repair and 2 patients underwent hysterectomy. The successful cure rate was 100%. Patient’s operation time (72.5 ± 10.4) minutes, hospitalization time (7.2 ± 1.0) days, postoperative incision infection in 1 case, accounting for 12.5%, after symptomatic treatment and better discharge. Conclusion: For cesarean section patients with pregnancy, the use of ultrasonography has a higher accuracy. Drug conservative treatment and surgical treatment have a good effect, can significantly control the bleeding, improve clinical symptoms, should be based on the patient’s condition and reasonable selection.