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目的探讨治疗剖宫产术后子宫瘢痕处妊娠的诊治方法。方法选取我院收治的剖宫产术后子宫瘢痕处妊娠共14例,治疗前所有患者均经彩超确诊。行甲氨蝶呤化疗,待血B-hCG值基本降至正常,彩超提示子宫瘢痕处血流循环不丰富时行B超监测下清宫术。结果 12例治愈,2例患者在治疗过程中阴道大量出血,1例无生育要求而行子宫切除,1例行子宫动脉栓塞术加清宫术保留子宫。结论甲氨蝶呤化疗联合B超监测下清宫术治疗剖宫产术后子宫瘢痕处妊娠具有创伤小简单易行有效。
Objective To investigate the diagnosis and treatment of uterine scar pregnancy after cesarean section. Methods selected in our hospital after cesarean section uterine scar pregnancy at 14 cases, before treatment, all patients were diagnosed by ultrasound. Line Methotrexate chemotherapy, B-hCG value of blood to be normal to the normal, color ultrasound prompted uterine scar flow circulation is not rich when the line under the supervision of uterine curettage. Results 12 cases were cured, 2 cases of vaginal bleeding in the course of treatment, a case of childbirth without hysterectomy, uterus was retained in 1 case of uterine artery embolization plus curettage. Conclusion Methotrexate chemotherapy combined with B-monitoring under the curettage of cesarean section after uterine scar pregnancy with a simple easy to operate effective.