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目的探讨子宫剖宫产疤痕妊娠的药物治疗对此类患者的预后和转归的不同和可行性。方法收集2006年10月-2008年1月我院妇科收治的8例子宫剖宫产瘢痕妊娠的患者,其中有6例进行了药物治疗,有1例误诊为过期流产导致治疗延误,有1例确诊后予手术挖出病灶保留子宫失败最后切宫。结果进行药物治疗的子宫剖宫产瘢痕妊娠6例患者均保留住子宫清除了妊娠,另2例未予药物治疗的患者均未能保留住子宫做了切除手术。结论对确诊的子宫剖宫产瘢痕妊娠的患者进行药物治疗,对保留患者的子宫功能、提高生活质量有着极其重要的作用。
Objective To investigate the difference and feasibility of drug treatment of uterine cesarean scar pregnancy on these patients prognosis and outcome. Methods Eight patients with cesarean scar pregnancy admitted to our hospital from October 2006 to January 2008 were enrolled. Among them, 6 patients were treated with drugs and 1 patient misdiagnosed as delayed delivery due to delayed treatment. One patient After the diagnosis of surgical excision of the lesion to retain the uterus, the last cut Palace. Results of drug treatment of uterine cesarean scar pregnancy 6 patients were retained uterus clear the pregnancy, and the other two patients without medication were unable to retain the uterus for resection. Conclusion The medical treatment of patients with confirmed uterine cesarean scar pregnancy has an extremely important effect on preserving uterine function and improving quality of life of patients.