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目的:探讨剖宫产术后子宫瘢痕妊娠的诊断与治疗方法。方法:对2006年1月～2011年11月海南医学院附属医院剖宫产术后子宫瘢痕妊娠30例患者的临床资料进行回顾性分析。结果:阴道超声对剖宫产术后子宫切口瘢痕妊娠诊断率为100.00%,子宫动脉栓塞术首次成功率为80.00%,双侧子宫动脉栓塞加清宫术的临床疗效明显优于药物治疗和单纯清宫术(P<0.05),且住院天数和术中出血量明显低于其他两组(P<0.05)。结论:超声是剖宫产术后子宫切口瘢痕妊娠早期诊断的可靠方法,对于剖宫产术后子宫切口瘢痕妊娠的治疗条件应该首选双侧子宫动脉栓塞加清宫术。
Objective: To investigate the diagnosis and treatment of uterine scar pregnancy after cesarean section. Methods: The clinical data of 30 patients with uterine scar pregnancy after cesarean section at Hainan Medical College Hospital from January 2006 to November 2011 were analyzed retrospectively. Results: The diagnosis of uterine incision scar pregnancy by vaginal ultrasound was 100.00%, the first success rate of uterine artery embolization was 80.00%, and the clinical effect of bilateral uterine artery embolization plus curettage was better than that of drug treatment and pure Qing palace (P <0.05), and the days of hospitalization and intraoperative blood loss were significantly lower than the other two groups (P <0.05). Conclusion: Ultrasound is a reliable method for the early diagnosis of uterine incision scar after cesarean section. Uterine artery embolization plus hysteroscopy should be the first choice for the treatment of uterine incision scar pregnancy after cesarean section.