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目的:探讨剖宫产术后子宫疤痕处妊娠(CSP)的临床治疗方法及其效果。方法:选取我院妇产科近年收治的行双腔取卵穿刺针孕囊穿刺术治疗的CSP患者36例为研究对象,总结具体手术方法及效果,并分析B超检查与CSP早期诊断准确性的关系。结果:本组36例患者经系统手术治疗后均全部治愈,血β~HCG水平恢复正常,妊娠囊消失。临床资料分析表明,B超检查频率与CSP确诊率呈正比。结论:B超检查是早期诊断CSP的主要方法,超声引导下穿刺注射MTX操作简单、创伤小且不良反应小,能很好地保全患者的生育功能,值得重视。
Objective: To investigate the clinical treatment of pregnancy with uterine scar after cesarean section (CSP) and its effect. Methods: 36 cases of CSP patients who underwent dual-chamber ovarian puncture needle and cyst puncture in our hospital in recent years were selected as research object, and the methods and results of operation were summarized. The diagnostic accuracy of B-ultrasound and CSP Relationship. Results: Thirty - six patients in this group were completely cured after systemic surgery. The level of serum β - HCG returned to normal and the gestational sac disappeared. Clinical data analysis showed that the frequency of B-ultrasound and CSP was in direct proportion to the diagnosis. Conclusion: B-ultrasound is the main method of early diagnosis of CSP. Ultrasound guided injection of MTX is simple, less traumatic and less adverse reactions, which can well preserve the reproductive function of patients.