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目的探讨剖宫产术后子宫瘢痕妊娠(cesarean scar pregnancy,CSP)的诊断及治疗方法。方法对本院2000~2005年收治的10例CSP患者临床资料进行回顾性分析。结果10例患者中4例诊断为宫内早孕行人工流产或药物流产。其中3例刮宫术中发生大量阴道出血伴失血性休克,1例药物流产后大出血。9例均经超声检查明确诊断。其中6例行天花粉保守治疗,3例单纯甲氨蝶呤(MTX)保守治疗成功,1例直接行开腹局部病灶切除术。均保留了生育功能。结论超声是诊断CSP的简便可靠方法,药物或手术治疗是可选择的安全有效的治疗方法。
Objective To investigate the diagnosis and treatment of cesarean scar pregnancy (CSP) after cesarean section. Methods The clinical data of 10 CSP patients admitted from 2000 to 2005 in our hospital were analyzed retrospectively. Results Of the 10 patients, 4 were diagnosed as intrauterine abortion in the early abortion or medical abortion. 3 cases of curettage occurred in a large number of vaginal bleeding with hemorrhagic shock, 1 case of bleeding after drug abortion. 9 cases were confirmed by ultrasonography diagnosis. Among them, 6 cases were treated with Celastrus conservative treatment, 3 cases methotrexate (MTX) conservative treatment was successful, 1 case of direct open laparoscopic local lesion resection. Have retained reproductive function. Conclusion Ultrasound is a simple and reliable method for the diagnosis of CSP. Drugs or surgical treatment are the safe and effective treatment options.