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目的探讨对剖宫产术后子宫瘢痕处妊娠(Cesarean Scar Pregnancy)患者的诊断以及治疗的方法。方法选取本院2010年12月~2013年6月CSP患者26例,对所有剖宫产术后子宫瘢痕处妊娠患者临床资料进行回顾性分析。结果观察剖宫产术后子宫瘢痕处妊娠患者的临床症状表现,选择对应的方法对患者实施治疗。其中25例患者选择采用药物治疗的方法 ,完成治疗后,20例治疗成功,5例患者在用药后出现了不停止流血的情况,最终诊断出现了不全流产的情况,对患者实施清宫术进行治疗。剩余的1例患者,选择进行切除修补术,全部成功完成手术。结论针对剖宫产术后子宫瘢痕处妊娠患者,应该在早期对其进行准确诊断,并且实施早期治疗。观察患者的临床症状表现给予对症治疗,最终有效将患者子宫功能进行保留并确保患者的生命安全。
Objective To investigate the diagnosis and treatment of pregnancy after cesarean section (Cesarean Scar Pregnancy). Methods Twenty-six CSP patients from December 2010 to June 2013 in our hospital were enrolled in this study. The clinical data of all pregnant patients with uterine scar after cesarean section were analyzed retrospectively. Results The clinical manifestations of pregnancy in patients with uterine scar after cesarean section were observed, and the corresponding methods were selected to treat the patients. Among them, 25 patients chose to take medication. After the completion of treatment, 20 patients were successfully treated. Five patients did not stop bleeding after treatment. The final diagnosis of incomplete abortion, the treatment of patients with curettage . The remaining 1 patient, the choice of resection and repair, all successfully completed the operation. Conclusion For pregnant patients with uterine scar after cesarean section, they should be accurately diagnosed in the early stage and be treated early. Observe the clinical symptoms of patients given symptomatic treatment, the final effective patient uterine function retention and ensure patient’s life safety.