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剖宫产术后子宫瘢痕妊娠是一种少见的异位妊娠,但随着剖宫产率的上升,近年来有关子宫瘢痕妊娠的临床报道越来越多。该病发病机制尚不明确,现认为其与子宫内膜损伤有关。临床症状多表现为停经后阴道出血,有时伴腹痛,常需借助阴道超声检查确诊。该病若治疗不及时可引起阴道大出血甚至危及生命,一旦确诊需立即终止妊娠。目前对该病的治疗尚未形成统一规范的标准,治疗方法包括甲氨蝶呤(Methotrexate,MTX)治疗、刮宫术、子宫动脉栓塞术联合刮宫术、宫腔镜手术、腹腔镜下病灶切除术及子宫切除术等。
Uterine scar pregnancy after cesarean section is a rare ectopic pregnancy, but with the rise of cesarean section rate, more and more clinical reports about uterine scar pregnancy in recent years. The pathogenesis of the disease is not clear, it is thought to be related to endometrial damage. More clinical manifestations of vaginal bleeding after menopause, sometimes accompanied by abdominal pain, often with the help of vaginal ultrasound examination confirmed. If the disease is not treated in time can cause vaginal bleeding or even life-threatening, once diagnosed need to immediately terminate the pregnancy. The current treatment of the disease has not yet formed a unified standard of treatment, including methotrexate (Methotrexate, MTX) treatment, curettage, uterine artery embolization combined with curettage, hysteroscopy, laparoscopic resection and Hysterectomy and so on.