摘要
目的：探讨剖宫产术后瘢痕妊娠的发生原因及相关因素。方法回顾分析剖宫产术后瘢痕妊娠的43例患者的临床资料。结果本组43例患者中，38例首诊中彩超检查诊断或高度可疑剖宫产瘢痕妊娠34例，未明确诊断4例。对明确诊断者采用MTX＋米非司酮治疗后超声引导下吸宫或妊娠病灶切除术，其中73．5％（25/34）治疗成功保留子宫，9例因大出血行子宫切除术。9例（4例院内首诊及5例院外转入）未明确诊断者均发生大量出血，5例行子宫切除术，4例经后续治疗成功。结论临床医生应加强对剖宫产术后瘢痕妊娠的认识及对剖宫产患者的早孕筛查，做到正确诊断和及时处理，改善预后。
Abstract
Objective To explore the causes of uterine scar pregnancy after cesarean section and related factors.Methods A retrospective analysis of the clinical da-ta of 43 cases of uterine scar pregnancy after cesarean section patients.Results Of the 43 patients,38 patients with first diagnosis of ultrasonography diagnosis or suspec-ted uterine incision scar pregnancy in 34 cases,4 cases were not clear diagnosis.Resection treating to making clear that diagnose person adopt MTX +rice to must attend to a ketone the queen surpassing sound attracting the palace or gravidity nidus under guidance,among them 73.5%(25/34)cures the successful reservation womb,9 ex-amples do a hysterectomy because of the massive hemorrhage.(Examine and shift to outside 5 regular yards the 9 4 regular yards inner head)not to have made clear that large amount of bleeding,5 routine hysterectomies happened in diagnose person without exception,4 regular classics are follow-up cure a success.Conclusion Cut a pal-ace open when the product patient is pregnant once again,the color carrying out a vagina periodically surpasses examination,once being diagnosed to be womb scar gravidity,need to be in progress actively treat.
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