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目的探讨剖宫产瘢痕部位妊娠的临床特点,为早期诊断、早期处理本病提供临床依据。方法回顾性分析2002年1月至2006年12月该院收治的12例剖宫产瘢痕部位妊娠病人的病史、临床表现、诊断方法以及治疗方法进行回顾性分析。结果12例患者中有8例经阴道超声检查或彩色多普勒超声检查确诊。本病初诊误诊7例,误诊率58.33%。12例患者中保守治疗10例,2例治疗失败而行全子宫切除术。结论剖宫产瘢痕部位妊娠的早期诊断水平有待提高,彩色多普勒超声检查可作为诊断切口妊娠的主要方法。甲氨蝶呤加清宫术可作为治疗切口妊娠的主要方法。
Objective To investigate the clinical features of cesarean scar pregnancy and provide a clinical basis for early diagnosis and early treatment of this disease. Methods The clinical data, clinical manifestations, diagnosis methods and treatment of 12 cases of cesarean scar pregnancy in our hospital from January 2002 to December 2006 were analyzed retrospectively. Results Of the 12 patients, 8 were diagnosed by transvaginal ultrasonography or color Doppler ultrasonography. The disease misdiagnosed in 7 cases, the misdiagnosis rate was 58.33%. Conservative treatment in 12 patients in 10 cases, two cases of failure and hysterectomy. Conclusion The early diagnosis of cesarean scar pregnancy need to be improved, and color Doppler ultrasound can be used as the main method of diagnosis of incisional pregnancy. Methotrexate plus curettage can be used as the main method of treatment of incisional pregnancy.