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目的通过对我院诊治的疤痕子宫妊娠的分析,探讨其早期诊断和早期治疗。方法回顾性分析10例我院住院病例的所有有关资料。结果 3例未及时发现,致清宫时大出血,后行经导管子宫动脉明胶海绵微粒栓塞,保留生育功能;1例接受上一次的经验早期诊断,但由于患者的原因,未行经导管子宫动脉栓塞,切除子宫。结论疤痕子宫妊娠应及早做B超检查,一旦发现,采用药物治疗是一种安全有效的方法[1],如人流术中出血,及时采用双侧子宫动脉栓塞,可避免切除子宫。
Objective To investigate the early diagnosis and early treatment of scar pregnancy in our hospital. Methods A retrospective analysis of 10 cases of hospital inpatient all the relevant information. Results 3 cases were not found in time, leading to severe bleeding in the palace, followed by embolization of transvaginal uterine artery gelatin sponge particles, retained reproductive function; 1 case accepted the previous experience of early diagnosis, but because of the patient’s reason, not through catheter uterine artery embolization, resection uterus. Conclusion Scar pregnancy should be done early B-ultrasound, once found, the use of drug treatment is a safe and effective method [1], such as bleeding in abortion, the timely use of bilateral uterine artery embolization, to avoid the removal of the uterus.