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目的:探讨剖宫产术后瘢痕妊娠的临床情况;方法:选取2013年1月至2013年12月在我院进行剖宫产手术后出现瘢痕妊娠的58例患者作为研究对象,观察其临床情况;结果:58例患者中,有48例患者经过保守治疗后痊愈出院,9例患者在保守治疗无效后采取子宫修补术和转腹腔镜病灶切除手术,有7例患者康复出院,有2例患者的在出院后的第3天阴道出血严重,而后予以子宫全部切除手术;结论:剖宫产术后瘢痕妊娠需早确诊、早治疗。产科工作人员要准确缝合子宫切口并提升剖宫产手术的质量,抑制剖宫产人数,严密遵守剖宫产标准。瘢痕妊娠一经确定,选用合理的治疗手段,即刻实施治疗办法。
Objective: To investigate the clinical situation of scar pregnancy after cesarean section. Methods: Fifty-eight cases of scar pregnancy after cesarean section in our hospital from January 2013 to December 2013 were selected as the research object, and their clinical status was observed Results: Of the 58 patients, 48 patients were cured after conservative treatment and discharged. Nine patients underwent hysterectomy and laparoscopic resection after conservative treatment was ineffective. Seven patients were recovered and discharged, and two patients Of vaginal bleeding on the 3rd day after discharge was severe, and then all the hysterectomies were performed. CONCLUSIONS: Cesarean scar pregnancy needs early diagnosis and early treatment. Obstetric staff to accurately suture the uterine incision and improve the quality of cesarean section, inhibit the number of cesarean section, strict compliance with the standard cesarean section. Once the scar pregnancy is confirmed, choose a reasonable treatment, the immediate implementation of treatment.