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目的探讨剖宫产切口妊娠的临床治疗措施。方法回顾分析21例患者的临床资料。结果保守治疗21例,治疗前盆腔包块3～5cm,治疗后包块消失,β-HCG降至正常,1.5～2.0个月后,月经恢复正常。5例保守治疗后,仍有反复阴道流血,采用病灶部位楔形切除瘢痕修补术,患者1～5个月后月经恢复正常,2例大出血患者因术中出血难以控制,发现子宫前壁广泛出血坏死,病变累及肌层,为挽救患者生命,履行子宫次全切除术,术后7d出院,一般情况好。结论剖宫产术后切口妊娠是一种少见的高危妊娠,应引起临床医师的高度重视,仔细病史询问,准确的B超检查是确诊的重要手段,根据病情选择合适治疗方案,保证患者的康复。
Objective To investigate the clinical treatment of cesarean section incision pregnancy. Methods The clinical data of 21 patients were retrospectively analyzed. Results Conservative treatment in 21 cases, pelvic mass before treatment 3 ~ 5cm, after treatment disappeared mass, β-HCG dropped to normal 1.5 to 2.0 months after menstruation returned to normal. 5 cases of conservative treatment, there are still repeated vaginal bleeding, the lesion site wedge resection scar repair, the patient 1 to 5 months after the menstruation returned to normal, 2 patients with bleeding due to intraoperative bleeding is difficult to control and found extensive anterior uterine bleeding hemorrhage , Lesions involving the myometrium, to save the lives of patients, to perform subtotal hysterectomy, 7d after discharge, the general situation is good. Conclusion Cesarean section after incision pregnancy is a rare high-risk pregnancy, should attract the attention of clinicians, careful medical history inquiry, accurate B-ultrasound is an important means of diagnosis, according to the condition to choose the appropriate treatment options to ensure the patient’s recovery .