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目的探讨剖宫产术后瘢痕部位妊娠的诊断及治疗方法。方法 43例剖宫产术后瘢痕妊娠患者均给予阴道腔内彩色多普勒超声检查,治疗方法包括药物、手术等。观察治疗效果。结果 43例剖宫产术后瘢痕妊娠患者经超声检出率90.70%,与病理诊断结果 (100.00%)相似。其中31例首选药物保守治疗,其中4例治疗无效后转为清宫术;16例经清宫术治疗(包括4例中转),其中2例大出血并切除子宫,总有效率100.00%。结论临床医生应准确掌握剖宫产术后瘢痕妊娠诊断及治疗方法 ,对疑似病例积极给予各项检查确诊病情,根据其实际情况提供正确有效的治疗措施,保障患者生活质量及生命安全,值得基层医院推广。
Objective To investigate the diagnosis and treatment of pregnancy after scarring in cesarean section. Methods 43 cases of cesarean scar pregnancy were given intravaginal color Doppler ultrasound, treatment methods, including drugs, surgery and so on. Observe the effect of treatment. Results 43 cases of cesarean scar pregnancy were detected by ultrasound 90.70%, with pathological diagnosis (100.00%) similar. Among them, 31 were the first choice of conservative treatment, and 4 of them were converted to radical mastectomy after the treatment was ineffective. Sixteen patients underwent radical mastectomy (including 4 cases), including 2 cases of bleeding and resection of the uterus. The total effective rate was 100.00%. Conclusion Clinicians should accurately grasp the diagnosis and treatment of scar pregnancy after cesarean section, give positive diagnosis to the suspected cases, provide correct and effective treatment according to their actual conditions, and ensure the quality of life and safety of patients Hospital promotion.