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目的:探索剖腹产术后瘢痕妊娠临床效果。方法:对在本院接受诊断及治疗的10例瘢痕妊娠患者进行回顾性分析,给予细致的B超检查及科学有效的手术治疗。结果:8例药物治疗成功,2例经过药物治疗后清除妊娠病灶以及子宫修补的手术,取得良好疗效。其中6例治疗效果显著,4例有效,无一例出现术后并发症,总有效率为100%。结论:细致的B超诊断能显著提升瘢痕妊娠患者的诊断率,应给予及时的早期确诊。此外,通过药物治疗或者药物治疗后在B超的引领下进行子宫清除手术,其治疗效果较为理想,大大减轻了病患的创伤。清除妊娠病灶外加修补手术,能很好保留病患的生育功能,有效降低了子宫的切除率。
Objective: To explore the clinical effect of scar pregnancy after caesarean section. Methods: Ten cases of scar pregnancy diagnosed and treated in our hospital were retrospectively analyzed, and detailed B-ultrasound and scientifically effective surgical treatment were given. Results: 8 cases of successful drug treatment, 2 cases of drug treatment after removal of pregnancy lesions and uterine repair surgery, and achieved good results. Among them, 6 cases had a significant therapeutic effect, 4 cases were effective, and none had postoperative complications with a total effective rate of 100%. Conclusion: The detailed diagnosis of B-ultrasound can significantly improve the diagnosis of patients with scar pregnancy, should be given timely and early diagnosis. In addition, through the drug treatment or drug treatment in the B-guided uterine clearance surgery, the treatment effect is ideal, greatly reducing the patient’s trauma. Clear pregnancy lesions plus repair surgery, can well retain the patient’s reproductive function, effectively reducing the rate of uterine resection.