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目的探讨剖宫产术后瘢痕妊娠病因、诊断及防治措施。方法对36例剖宫产术后瘢痕妊娠患者的临床资料进行回顾性分析。结果 36例患者中32例保守治疗成功保留子宫;4例手术治疗中3例保留子宫,1例行子宫切除。结论掌握剖宫产指征,早期诊断和正确处理,依病情采用保守治疗或手术治疗可降低剖宫产术后瘢痕妊娠并发症发生率。
Objective To investigate the etiology, diagnosis and prevention and treatment of scar pregnancy after cesarean section. Methods The clinical data of 36 patients with cesarean scar pregnancy were analyzed retrospectively. Results Of the 36 patients, 32 cases of conservative treatment retained the uterus; 4 cases of surgical treatment in 3 cases retained the uterus, 1 case of hysterectomy. Conclusion Cesarean section indications, early diagnosis and correct treatment, depending on the condition of conservative treatment or surgical treatment can reduce the incidence of scar pregnancy after cesarean section.