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目的研究子宫下段剖宫产后子宫切口妊娠的临床诊断及治疗方法。方法对15例患者进行回顾性分析。结果15例患者中有13例经超声检查确诊;本病初诊误诊9例,误诊率60%,15例患者中保守治疗13例,12例痊愈,占80%;3例行子宫切除术。结论有剖宫产史的妇女因停经就诊时,要常规行B超检查,B超检查可作为诊断切口妊娠的主要方法;药物治疗和动脉栓塞介入治疗可作为治疗切口妊娠的主要方法,可有效地避免子宫切除。
Objective To study the clinical diagnosis and treatment of uterine incision pregnancy after cesarean section. Methods Fifteen patients were retrospectively analyzed. Results Thirteen of the 15 patients were diagnosed by ultrasonography. Nine patients were misdiagnosed as initial diagnosis, 60% were misdiagnosed, 13 were conservatively treated in 15 patients, 12 were cured, accounting for 80%. Three patients underwent hysterectomy. Conclusions Women with history of cesarean section should undergo routine B ultrasound examination for menopause, and B ultrasound can be used as the main method for diagnosis of incisional pregnancy. Medication and arterial embolization can be used as the main method for treatment of incisional pregnancy, which is effective Avoid hysterectomy.