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目的探讨剖宫产术后子宫瘢痕妊娠(CSP)的诊断和治疗。方法回顾性分析CSP患者12例的临床资料。结果 CSP患者12例,占同期异位妊娠的0.92%。其中,2例行子宫动脉栓塞后清宫术;1例药物治疗后清宫术时出血多,行子宫动脉栓塞;4例误诊为宫内妊娠,人流术中大量出血,行子宫动脉栓塞;1例人流术后持续阴道流血再次清宫术中大量出血行子宫动脉栓塞;3例药物治疗成功;1例行子宫切除术。结论超声检查是诊断CSP的可靠方法。CSP治疗方法应个体化,子宫动脉栓塞可快速止血,安全有效,切忌盲目清宫术。
Objective To investigate the diagnosis and treatment of uterine scar pregnancy (CSP) after cesarean section. Methods The clinical data of 12 patients with CSP were retrospectively analyzed. Results CSP patients in 12 cases, accounting for 0.92% of ectopic pregnancy. Among them, 2 cases underwent uterine surgery after uterine artery embolization; 1 case of postoperative curettage bleeding after surgery, uterine artery embolization; 4 cases misdiagnosed as intrauterine pregnancy, abortion in a large number of bleeding, uterine artery embolization; 1 case of abortion Continuous vaginal bleeding after surgery again a lot of bleeding in uterine artery embolization; 3 cases of drug treatment success; 1 case of hysterectomy. Conclusion Ultrasonography is a reliable method for the diagnosis of CSP. CSP treatment should be individualized, uterine artery embolization can quickly stop bleeding, safe and effective, should not blind curettage.