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目的探讨剖宫产后瘢痕处妊娠的诊断治疗。方法对我院2000年1月至2011年12月期间,收治的14例剖宫产后瘢痕妊娠患者的诊断和治疗方法进行总结和分析。结果 10例剖宫产后子宫瘢痕妊娠患者,通过彩色多普勒超声(CDFI)引导下药物局部孕囊注射治疗,顺利康复。3例出血较多的,使用子宫动脉栓塞介入治疗止血效果完全。1例因经济问题,无生育要求而行开腹瘢痕处组织切除术+瘢痕修补术。结论剖宫产后再次妊娠,受精卵有可能着床于子宫瘢痕处,发生剖宫产瘢痕妊娠,早期进行诊断,应用超声、药物及介入可以有效保守治疗。
Objective To investigate the diagnosis and treatment of pregnancy after cesarean section scar. Methods From January 2000 to December 2011 in our hospital, 14 cases of cesarean scar pregnancy after diagnosis and treatment of patients were summarized and analyzed. Results Ten patients with uterine scar pregnancy after cesarean section were injected with local gestational sac under the guidance of color Doppler ultrasound (CDFI), and recovered successfully. 3 cases of bleeding more, the use of uterine artery embolization interventional hemostatic effect is complete. 1 case due to economic problems, no requirement of childbirth open abdominal scar tissue resection + scar repair. Conclusion Cesarean section after pregnancy again, fertilized eggs may be implantation in the uterine scar, cesarean scar pregnancy occurs, early diagnosis, the application of ultrasound, drugs and interventions can be effective conservative treatment.