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目的探讨对剖宫产后子宫瘢痕处妊娠患者(CSP)的处理,总结其发生的病因及治疗方法。方法对于2009年1月至2011年6月在本院进行治疗的15例CSP患者的临床资料进行回顾分析,对患者的治疗方法进行总结。结果 15例CSP患者中,有9例患者进行药物治疗,3例患者进行清宫治疗,1例患者进行子宫动脉栓塞及清宫术,2例患者进行子宫切除术,患者治疗后均痊愈,有3例患者肝功能出现损伤,经过保肝治疗后,肝功能恢复正常,手术治疗和子宫动脉栓塞与清宫这两种治疗方法后患者的肝功能好于药物治疗及药物治疗+清宫治疗这两种治疗方法,差异具有统计学意义(P<0.05)。结论剖宫产后子宫瘢痕处妊娠较为少见,对患者可以进行药物、清宫、子宫栓塞等治疗,对于出血量多,病情较为严重的患者可进行子宫切除术进行治疗。
Objective To investigate the treatment of pregnant women with cesarean section uterine scar (CSP), and to summarize the etiology and treatment of CSP. Methods The clinical data of 15 CSP patients treated in our hospital from January 2009 to June 2011 were retrospectively analyzed and the treatment methods were summarized. Results Of the 15 patients with CSP, 9 patients received drug therapy, 3 patients were treated with curettage, 1 patient underwent uterine artery embolization and curettage, and 2 patients underwent hysterectomy. All patients recovered after treatment, and 3 patients Patients with liver damage, after liver protection treatment, liver function returned to normal, surgical treatment and uterine artery embolization and curettage of these two kinds of treatment of patients with liver function better than medicine and cure + cure two methods of treatment , The difference was statistically significant (P <0.05). Conclusion Cesarean scar pregnancy after pregnancy is relatively rare, the patient can be drug, curettage, uterine embolism and other treatment, for more bleeding, the more serious cases of patients can be treated for hysterectomy.