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目的对剖宫产术后子宫瘢痕处妊娠的临床处理体会进行总结分析。方法随机抽取在2009年1月至2012年1月这段时间里我院收治的患有子宫瘢痕处妊娠的患者病例资料23例,对其临床治疗资料展开回顾性分析,并对临床处理体会予以总结。结果在这23例患者中均存在剖宫史以及停经史。在这23例患者中有21例患者经阴道超声检查确诊,2例为术后病理检查确诊。有16例患者采取甲氨蝶呤并配合米非司酮予以口服药物进行保守治疗,有7例患者采取子宫动脉栓塞术后清宫术进行治疗。经治疗所有患者均痊愈出院,并保留了生育能力。结论采用口服药物进行保守治疗对剖宫产术后子宫瘢痕处妊娠具有很好的治疗效果。
Objective To analyze the clinical experience of uterine scar pregnancy after cesarean section. Methods Twenty-three cases of pregnancy with uterine scar admitted to our hospital from January 2009 to January 2012 were randomly selected. The clinical data were retrospectively analyzed and the clinical experience was evaluated to sum up. Results All 23 patients had history of cesarean section and history of menopause. Twenty-one of the 23 patients were confirmed by transvaginal sonography and two were confirmed by postoperative pathology. Sixteen patients were treated with methotrexate and mifepristone for conservative treatment. Seven patients were treated with uterine artery embolization and postoperative curettage. After treatment, all patients were cured and discharged, and retained fertility. Conclusions Conservative treatment with oral medication has a good therapeutic effect on the pregnancy of uterine scar after cesarean section.