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目的探讨剖宫产术后瘢痕处妊娠的早期诊断和治疗方法。方法对本院28例剖宫产瘢痕处妊娠病例的临床表现、检查和治疗方法进行回顾性分析。结果 28例患者均经阴道彩色多普勒超声确诊,经米非司酮联合甲氨蝶呤加清宫术治疗一次成功,无大出血发生。结论剖宫产史妇女再次妊娠时,孕早期应常规行阴道超声检查,有助于明确诊断;甲氨蝶呤联合米非司酮加清宫术是治疗剖宫产瘢痕妊娠简单而且有效的治疗方法。
Objective To investigate the early diagnosis and treatment of pregnancy after cesarean section scar. Methods The clinical manifestations, examination and treatment of 28 cases of cesarean scar pregnancy in our hospital were analyzed retrospectively. Results 28 cases were diagnosed by vaginal color Doppler ultrasound, mifepristone combined with methotrexate plus curettage a successful, no major bleeding. Conclusion Cesarean section in women during pregnancy again, the first trimester should be routine vaginal ultrasound examination, help to confirm the diagnosis; methotrexate combined with mifepristone plus curettage is a simple and effective treatment of pregnancy cesarean scar pregnancy .