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目的探讨宫腔异常与子宫剖宫产瘢痕妊娠(CSP)的相关性。方法选择因子宫剖宫产瘢痕妊娠(CSP)在北京大学人民医院住院的患者65例,所有患者均在子宫动脉栓塞(UAE)后B超监护下行清宫术+宫腔镜检查,观察是否有胚胎组织残留,宫腔有无异常。结果所有患者宫腔镜检查均未见胚胎组织残留,术中发现宫腔异常13例(20.00%),包括子宫内膜息肉、宫腔粘连、子宫纵隔等,其中宫腔粘连的发生率最高。结论宫腔异常可能是CSP发生的危险因素,建议瘢痕子宫患者应在妊娠前检查排除宫腔病变,降低CSP的发生风险。
Objective To investigate the correlation between uterine cavity abnormalities and cesarean scar pregnancy (CSP). Methods Sixty-five patients were enrolled in Peking University People’s Hospital for Cesarean scar pregnancy (CSP). All patients underwent Uterine Hysteroscopy and Hysteroscopy under uterine arterial embolism (UAE) to observe whether there were embryos Tissue residue, uterine cavity with or without exception. Results No hysteroscopy was found in all the patients. There were 13 cases (20.00%) of uterine cavity abnormalities, including endometrial polyps, intrauterine adhesions and mediastinum. Among them, intrauterine adhesions were the most common. Conclusions Uterine cavity abnormalities may be the risk factors of CSP. It is suggested that patients with uterine scar should be excluded from uterine lesions before pregnancy and reduce the risk of CSP.