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目的:探讨剖宫产后子宫切口妊娠的临床表现以及患者对临床治疗的体会,为临床医生的早期诊断、治疗提供依据。方法:根据患者的病史、临床表现、诊断方法以及治疗方法进行回顾性分析。结果:对进行治疗的40名患者采用阴道超声检查或彩色多普勒超声检查进行确诊,将患者分为观察组和对照组两组进行治疗观察,对患者进行保守治疗,观察组有90%痊愈,对照组成功率达到75%。结论:对于具有剖宫产史的妇女在进行停经就诊时,需要进行常规的阴道超声检查,对于怀疑有切口妊娠的病例,需要进行彩色多普勒超声检查,这是对切口妊娠进行诊断的一种主要方法,甲氨蝶吟加清宫术是治疗切口妊娠、避免子宫切除的一种比较有效的方法。
Objective: To investigate the clinical manifestations of uterine incision pregnancy after cesarean section and the experience of patients in clinical treatment, and to provide basis for the early diagnosis and treatment of clinicians. Methods: According to the patient’s medical history, clinical manifestations, diagnostic methods and treatment methods were retrospectively analyzed. Results: 40 patients undergoing treatment were diagnosed by vaginal ultrasonography or color Doppler ultrasonography. The patients were divided into observation group and control group. The patients were treated conservatively and the observation group was cured 90% , The control group achieved a success rate of 75%. CONCLUSIONS: Women with a history of cesarean delivery require routine vaginal ultrasound for menopause visits and color Doppler sonography is required for suspected cases of incisional pregnancy, one for the diagnosis of incisional pregnancy The main method of methotrexate Yin plus curettage is the treatment of incisional pregnancy, hysterectomy to avoid a more effective way.