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目的探讨剖宫产术后子宫瘢痕妊娠(CSP)的治疗方法和疗效。方法回顾性分析收治的32例CSP患者的临床资料。结果 25例行药物治疗联合B超监视下清宫术,7例行CSP妊娠物清除及子宫瘢痕修补术,治疗成功率分别为24/25,7/7。两组住院时间差异无统计学意义(P>0.05)。住院总费用及血β-HCG下降至正常时间的差异有统计学意义(P<0.05)。结论药物治疗联合清宫术治疗CSP简便、费用低、损伤小;阴式CSP妊娠物清除及子宫瘢痕修补术损伤小、恢复快、病灶清除彻底,二者均为有效、可行的治疗方法,应根据患者的具体情况选择个体化的治疗方案。
Objective To investigate the treatment and efficacy of uterine scar pregnancy (CSP) after cesarean section. Methods The clinical data of 32 CSP patients were retrospectively analyzed. Results Twenty-five patients underwent radical curettage with B-ultrasound and seven patients underwent CSP for pregnancy and uterine scar repair. The success rates were 24/25 and 7/7, respectively. There was no significant difference in hospitalization time between the two groups (P> 0.05). The total cost of hospitalization and blood β-HCG decreased to normal time difference was statistically significant (P <0.05). Conclusions The combination of drug therapy and curettage is simple and convenient, the cost is low and the injury is small. The negative CSP pregnancy and uterine scar repair have less injury, quick recovery and complete lesion clearance. Both of them are effective and feasible treatment methods. The specific circumstances of patients choose individualized treatment options.