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目的:探讨剖宫产术后子宫瘢痕处妊娠的临床特点及治疗方法。方法:回顾性分析9例剖宫产术后子宫瘢痕处妊娠患者的临床资料。结果与结论:9例患者既往均有子宫下段剖宫产史;均有停经史和(或)阴道流血史,无明显腹痛。查尿人绒毛膜促性腺激素均阳性。B超检查有助确诊。5例早孕者经保守治疗治愈,3例行全子宫切除术,另1例外院行次全子宫切除术者,先行髂内动脉插管盆腔肿块供血动脉栓塞术再辅以化学治疗。剖宫产瘢痕处妊娠早期可行保守治疗,效果较好;妊娠晚期常因出血多而危及生命,必要时需行全子宫切除术。
Objective: To investigate the clinical features and treatment of uterine scar pregnancy after cesarean section. Methods: The clinical data of 9 pregnant women with uterine scar after cesarean section were analyzed retrospectively. RESULTS AND CONCLUSION: All 9 patients had a history of cesarean section in the lower uterine segment. All had history of menopause and / or vaginal bleeding, and no obvious abdominal pain. Check urine human chorionic gonadotropin were positive. B-ultrasound help diagnose. 5 cases of early pregnancy were cured by conservative treatment, 3 cases of hysterectomy, and the other 1 case of subtotal hysterectomy, first internal iliac artery cannulation pelvic artery embolization and then supplemented by chemical treatment. Cesarean scar pregnancy early possible conservative treatment, the effect is better; often late pregnancy due to bleeding and more life-threatening, if necessary, hysterectomy.