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目的探究剖宫产术后瘢痕妊娠(CSP)的临床特点和处理方法。方法选取20例CSP患者,回顾分析其临床资料和治疗过程,总结CSP的临床特点及处理办法。结果 20例孕妇均进行全身麻醉后在超声引导下进行清宫术,治疗效果较好,孕妇出血量较少,多数孕妇出血量都<50 ml,仅3例孕妇出血量在50~200 ml之间。宫腔镜清宫术并发症发生情况与剖腹取胚术比较,差异具有统计学意义(P<0.05)。结论首先进行药物杀胚治疗,待孕妇血人绒毛膜促性腺激素(β-HCG)值<500 m IU/ml之后行超声引导的清宫术,安全有效。孕妇出血少,机体功能恢复快,值得临床推广。
Objective To investigate the clinical features and treatment of scar pregnancy (CSP) after cesarean section. Methods Twenty patients with CSP were selected and their clinical data and treatment were reviewed retrospectively. The clinical features and treatment of CSP were summarized. Results All the 20 pregnant women were undergone uterine curettage under general anesthesia. The curative effect was better and the amount of bleeding in pregnant women was less. Most pregnant women had less than 50 ml of bleeding and only 3 cases of pregnant women had bleeding between 50 and 200 ml . Hysteroscopic curettage complications and caesarean section embryo surgery, the difference was statistically significant (P <0.05). Conclusions First, the drug kill embryo treatment, to be pregnant blood serum human chorionic gonadotropin (β-HCG) value of <500 m IU / ml after ultrasound-guided curettage, safe and effective. Pregnant women less bleeding, rapid recovery of body function, it is worth clinical promotion.