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目的:探究剖腹产后子宫疤痕处再次妊娠的临床诊治,并且分析疤痕妊娠与剖腹产之间的关系以及治疗方案。方法:本文选取本院2015年3月至2016年3月的15例剖腹产术后子宫疤痕处妊娠的孕妇作为研究对象,在这一过程中分别对于甲氨喋吟、米非司酮以及中药进行应用。结果:5例患者的HCG水平降到正常指标,4例患者4周后HCG降到100以下,在停用甲氨喋吟后以上15例患者均达到了正常水平,其中存在4例患者出现阴道出血情况,并存在轻微的腹痛。结论:采用以上三种方法进行联合治疗是最为安全有效的方法,因此在今后的临床过程中可以对于以上三种方法进行联合使用。
Objective: To investigate the clinical diagnosis and treatment of uterine scar after cesarean section, and to analyze the relationship between scar pregnancy and caesarean section and the treatment plan. Methods: In this study, 15 pregnant women with uterine scar pregnancy after cesarean section were selected from March 2015 to March 2016 in our hospital. During the course of this study, methotrexate, mifepristone and traditional Chinese medicine application. Results: The HCG levels of 5 patients dropped to normal, and the HCG of 4 patients dropped below 100 after 4 weeks. All of the above 15 patients reached the normal level after stopping the use of methotrexate, in which 4 patients had vaginal discharge Bleeding, and there is a slight abdominal pain. Conclusion: The combination of these three methods is the most safe and effective combination of the above methods, so in the future clinical course can be combined for the above three methods.