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目的:探讨剖宫产术后子宫瘢痕妊娠的诊断及急诊处理措施。方法:在医院2015年5月到2016年4月期间诊治的剖宫产术后子宫瘢痕妊娠患者中抽取75例作研究对象,对其临床资料进行回顾性分析。结果:本组75例剖宫产术后子宫瘢痕妊娠患者中,在人流术前明确诊断者均已清理出妊娠组织;在人流手术中确诊者均有效清除了坏死胎盘组织,其宫腔内壁比较光滑;在人流术中确诊者胎盘组织均清除,所有患者的血绒毛膜促性腺激素水平均快速下降至正常水平。结论:对于剖宫产术后子宫瘢痕妊娠患者,应根据不同情况,在B超监测下应用米非司酮、清宫处理、切除瘢痕妊娠组织等疗法,可获得良好急诊处理效果。
Objective: To investigate the diagnosis and emergency treatment of uterine scar pregnancy after cesarean section. Methods: Seventy-five patients with uterine scar pregnancy after cesarean section diagnosed and treated during the period from May 2015 to April 2016 in our hospital were selected as study subjects, and their clinical data were retrospectively analyzed. Results: In the group of 75 patients with uterine scar pregnancy after cesarean section, all the patients with definite diagnosis before abortion had cleared the pregnancy tissues. The necrotic placenta tissues were effectively removed in the confirmed abortions, and the intrauterine walls were compared Smooth; abortion placenta tissue removed in abortion, all patients with rapid reduction of serum chorionic gonadotropin levels to normal levels. Conclusion: For uterine scar pregnancy patients after cesarean section should be based on different circumstances, the application of B-monitoring of mifepristone, clearance treatment, removal of scar pregnancy and other therapies, access to good emergency treatment effect.