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目的:探讨剖宫产瘢痕妊娠的发病机制及治疗效果。方法:随机选取2010年6月~2014年6月我院收治的剖宫产瘢痕妊娠患者25例,回归性分析患者的临床资料,统计分析治疗方法及效果。结果:剖宫产瘢痕妊娠患者占同期异位妊娠者的1.1%,治疗前,9例确诊,16例出现误诊,经全子宫切除或保守治疗,均治愈出院,成功率100%。结论:剖宫产瘢痕妊娠不常见,易出现误诊,借助辅助检查可提高诊断准确率,给予患者个体化治疗,可提高治疗的效果。
Objective: To investigate the pathogenesis of cesarean scar pregnancy and its therapeutic effect. Methods: 25 cases of cesarean scar pregnancy admitted to our hospital from June 2010 to June 2014 were randomly selected. The clinical data of patients were retrospectively analyzed, and the treatment methods and effects were statistically analyzed. Results: Cesarean scar pregnancy accounted for 1.1% of patients with ectopic pregnancy in the same period. Before the treatment, 9 cases were diagnosed and 16 cases were misdiagnosed. All patients were cured by hysterectomy or conservative treatment. The success rate was 100%. Conclusion: Cesarean scar pregnancy is not common, prone to misdiagnosis, with the help of ancillary examination can improve the diagnostic accuracy, individualized treatment given to patients, can improve the treatment effect.