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目的:对实施剖宫产后子宫瘢痕妊娠(CSP)疾病的临床诊断和治疗进行探讨。方法:对我院妇产科收治的16例CSP患者的临床诊治资料进行回顾分析。结果:对16例患者均实施彩超项目检查,诊断明确的有14例,其余2例中,有1例患者被误诊为先兆流产,有1例患者被误诊为稽留流产;在治疗时有6例患者实施清宫术和栓塞术的联合手术,有9例患者在进行MTX治疗后实施清宫术,有1例患者实施子宫切除手术,所有患者均治愈出院。结论:彩超检查项目是诊断CSP的有效方法,而子宫栓塞联合清宫术是治疗CSP的安全有效方法。
Objective: To investigate the clinical diagnosis and treatment of uterine scar pregnancy (CSP) after cesarean section. Methods: The clinical data of 16 cases of CSP admitted to our department were retrospectively analyzed. Results: Color Doppler ultrasonography was performed in all 16 patients. Fourteen cases were diagnosed. One of the remaining two patients was misdiagnosed as threatened abortion. One patient was misdiagnosed as missed abortion. Six patients Patients underwent hysteroscopic and embolic surgery. Nine patients underwent hysteroscopic surgery after MTX treatment. One patient underwent hysterectomy, and all patients were cured. Conclusion: Color Doppler ultrasound examination is an effective method for the diagnosis of CSP, and uterine embolization combined with curettage is a safe and effective treatment of CSP.