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目的:探讨剖宫产术后子宫瘢痕妊娠(CSP)的临床表现、诊断及治疗方法。方法:回顾性分析我院2008年1月至2010年12月收治的10例CSP患者的临床资料。结果:经超声明确诊断1例;人工流产或清宫术时阴道流血多或持续时间超过半月,复查彩超时提示子宫下段前壁异常不均质回声7例;2例术前未查B超。7例子宫动脉栓塞后行清宫术成功保留生育功能,1例行超声引导下局部注射甲氨蝶呤保守治疗成功保留生育功能,2例术中大出血而无生育要求直接行子宫次全切除术。结论:超声检查在其诊断中起重要作用,子宫动脉栓塞后清宫术、药物治疗是安全有效的治疗方法。
Objective: To investigate the clinical manifestations, diagnosis and treatment of uterine scar pregnancy (CSP) after cesarean section. Methods: The clinical data of 10 CSP patients admitted to our hospital from January 2008 to December 2010 were retrospectively analyzed. Results: 1 case was diagnosed by ultrasonography. In vaginal bleeding or vaginal bleeding, more vaginal bleeding or more than half a month was observed. Seven cases of abnormal anomalous echoes of the anterior segment of the uterine segment were observed by color echocardiography. 7 cases of uterine artery embolization after hysteroscopic surgery to retain reproductive function, 1 case under the guidance of ultrasound guided local injection of methotrexate conservative treatment of reproductive function retained successfully, 2 cases of intraoperative bleeding without fertility requirements of subtotal hysterectomy. Conclusion: Ultrasonography plays an important role in its diagnosis. Uterine artery embolization after curettage and drug therapy are safe and effective treatments.