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目的探讨剖宫产后子宫瘢痕妊娠(cesarean scar pregnancy,CSP)的临床诊断与不同治疗方法及效果。方法回顾分析2009年1月至2011年5月内蒙古医学院附属医院收治的10例CSP患者的临床资料。结果 10例患者均采用甲氨蝶呤化疗治疗并在B超引导下行人工流产术,9例成功,1例失败。结论超声检查为子宫瘢痕妊娠诊断提供重要依据,甲氨蝶呤化疗治疗并在B超引导下行人工流产术是安全有效的保守治疗方法。
Objective To investigate the clinical diagnosis and treatment of cesarean scar pregnancy (CSP) after cesarean section and its effects. Methods The clinical data of 10 CSP patients admitted to the Affiliated Hospital of Inner Mongolia Medical College from January 2009 to May 2011 were retrospectively analyzed. Results All 10 patients were treated with methotrexate chemotherapy and underwent induced abortion with B-ultrasound. Nine patients were successful and one patient failed. Conclusion Ultrasonography provides an important basis for the diagnosis of uterine scar pregnancy. Methotrexate chemotherapy and guided artificial abortion guided by B ultrasound is a safe and effective conservative treatment.