论文部分内容阅读
目的探讨剖宫产术后子宫瘢痕处妊娠的临床诊断及治疗办法。方法选取本院自2010年2月至2012年2月收治的106例剖宫产术后子宫瘢痕处妊娠患者的临床资料进行回顾性分析。结果经超声检查确诊63例,误诊43例,确诊率为59.4%。其中41例患者采取甲氨蝶呤治疗,32例患者行清宫术治疗,25例患者行双侧子宫动脉栓塞术,4例行子宫瘢痕缝补术联合子宫切开取胚术,4例患者行子宫切除术。结论超声诊断是诊断剖宫产术后子宫瘢痕处妊娠的首要手段,手术方法的选择应依据患者的病情进行选择,清宫术易引起大出血,应禁止盲目使用。
Objective To investigate the clinical diagnosis and treatment of uterine scar pregnancy after cesarean section. Methods The clinical data of 106 pregnant women with uterine scar after cesarean section were collected from February 2010 to February 2012 in our hospital were retrospectively analyzed. Results confirmed by ultrasonography in 63 cases, 43 cases were misdiagnosed, the diagnosis rate was 59.4%. Among them, 41 patients were treated with methotrexate, 32 patients underwent curettage, 25 patients underwent bilateral uterine artery embolization, 4 patients underwent uterine scar suture combined with hysterectomy and embryo implantation, 4 patients underwent uterine cut. Conclusion Ultrasound diagnosis is the most important method to diagnose the pregnancy of uterine scar after cesarean section. The choice of surgical method should be based on the patient’s condition, and the curettage can cause massive hemorrhage. Blind use should be forbidden.