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目的:探讨子宫剖宫产疤痕妊娠(CSP)的诊断和最佳治疗方法,为后续的临床研究工作提供理论依据和临床资料。方法:回顾性分析我院2010年2月-2012年2月收治的30例CSP患者的临床资料。结果:30例患者中,有25例行双侧子宫动脉栓塞(UAE)+MTX灌注术后,再行清宫术,手术均获得成功,术后无任何并发症出现;另外5例患者因误诊为宫内妊娠后行人工流产术时发生大出血转至我院进行抢救,其中,4例成功实施了子宫动脉栓塞术,达到了止血目的,1例因子宫破裂直接行全子宫切除术。结论:对子宫剖宫产疤痕妊娠(CSP)患者实施双侧子宫动脉栓塞术+MTX灌注术后,借助B超监测,再行刮宫术,是治疗剖宫产切口妊娠的有效方法。
Objective: To investigate the diagnosis and best treatment of uterine cesarean scar pregnancy (CSP), and to provide theoretical basis and clinical data for the follow-up clinical research. Methods: The clinical data of 30 CSP patients admitted to our hospital from February 2010 to February 2012 were retrospectively analyzed. Results: Of the 30 patients, 25 cases underwent bilateral uterine artery embolization (UAE) + MTX perfusion, followed by radical hysteroscopic surgery. The operation was successful and no postoperative complications occurred. The other 5 patients were misdiagnosed as Intrauterine pregnancy after abortion abortion occurs bleeding to our hospital for rescue, of which 4 cases of successful uterine artery embolization, to achieve the purpose of bleeding, 1 case of uterine rupture directly hysterectomy. Conclusion: Bilateral uterine arterial embolization + MTX perfusion in patients with uterine cesarean scar pregnancy (CSP) is an effective method for the treatment of cesarean section incision pregnancy with B-monitoring and curettage.