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目的探讨剖宫产术后子宫瘢痕妊娠的临床表现、诊断及治疗方法。方法回顾性分析30例剖宫产瘢痕妊娠(CSP)患者的临床资料。结果 30例患者中25例药物治疗后在B超监护下行清宫术;3例在腹腔镜监护下行宫腔镜病灶切除术;2例因大出血行子宫动脉栓塞术(UAE),术后30例患者均痊愈出院。结论剖宫产瘢痕妊娠误诊率高,彩色多普勒超声是诊断剖宫产瘢痕妊娠简便有效的方法 ;氟尿嘧啶+更生霉素低剂量联合短期杀胚治疗疗效确切,无明显毒副作用,可作为保守治疗方案之一。
Objective To investigate the clinical manifestations, diagnosis and treatment of uterine scar pregnancy after cesarean section. Methods The clinical data of 30 patients with cesarean scar pregnancy (CSP) were retrospectively analyzed. Results Of the 30 patients, 25 cases underwent Cesarean section undergoing B-ultrasound, 3 cases underwent hysteroscopic resection under laparoscopy, 2 cases underwent Uterine artery embolization (UAE) due to massive hemorrhage, 30 cases after operation All were cured and discharged. Conclusion The rate of misdiagnosis of cesarean scar pregnancy is high. Color Doppler ultrasonography is a simple and effective method for the diagnosis of cesarean scar pregnancy. The combination of low dose fluorouracil and dactinomycin combined with short-term germ-killing treatment is effective and has no obvious side effects. One of the treatment options.