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目的探讨剖宫产疤痕妊娠的治疗方法。方法回顾性分析我院在2002年1月至2011年12月收治的10例剖宫产疤痕妊娠的临床资料。结果 1例行子宫次全切除术,1例不同意开腹手术送上级医院行介入治疗成功,1例行开腹疤痕处妊娠组织切除+疤痕修补术,以异位妊娠内出血行剖腹探查术后确诊,2例行甲氨喋呤加米非司酮药物治疗后B超引导下清宫术,2例行甲氨喋呤加米非司酮药物治疗后宫腔镜下妊娠物清除术,3例经阴道疤痕妊娠组织切除+疤痕修补术。结论对剖宫产疤痕妊娠应该早期诊断、及早采用合适方法治疗,可获得满意疗效。
Objective To investigate the treatment of cesarean scar pregnancy. Methods The clinical data of 10 cases of cesarean scar pregnancy treated in our hospital from January 2002 to December 2011 were retrospectively analyzed. Results 1 case of subtotal hysterectomy, 1 case did not agree to open surgery to superior hospital interventional therapy success, 1 case of open scar pregnancy at the site of excision and scar repair surgery to ectopic pregnancy hemorrhage after laparotomy Two cases were diagnosed with methotrexate and mifepristine after treatment with B-ultrasound, and 2 cases were treated with methotrexate and mifepristine. Vaginal scar pregnancy excision + scar repair. Conclusion Cesarean scar pregnancy should be diagnosed early, early treatment with appropriate methods, to obtain satisfactory results.