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剖宫产术后子宫瘢痕妊娠的诊断与治疗
作者：孙轶文
来源：《中国医药科学》2012年第16期
[摘要] 目的 探讨剖宫产术后子宫瘢痕妊娠目前常用的诊断和治疗方法。 方法 选择17例剖宫产术后子宫瘢痕妊娠患者，总结诊断方法及临床效果。 结果 17例患者血β-HCG水平均升高，超声检查确诊11例，确诊率64.7％，7例患者经环磷酰胺治疗后成功5例，9例患者经清宫或人工流产术治疗后成功3例，1例患者因清宫术中出血多急诊行子宫动脉栓塞术成功。 结论 本病治疗成功的关键是早期诊断，药物治疗是基础，宫腔镜下清宫是一种安全有效的诊断治疗方式。
[关键词] 剖宫产术后子宫瘢痕妊娠；诊断；治疗
[中图分类号] R719 [文献标识码] B [文章编号] 2095-0616（2012）16-229-02 Diagnosis and treatment of uterine scar pregnancy after cesarean SUN Yiwen
Department of Gynecology and Obstetrics, the People's Hospital of Xinfeng County in Jiangxi Province, Xinfeng 341600,China
[Abstract] Objective To investigate the diagnosis and treatment of uterine scar pregnancy after cesarean. Methods 17 cases with uterine scar pregnancy after cesarean were diagnosed clinical therapeutic effect. Results The blood β-HCG levels of 17 cases were elevated, and 11 patients were ultrasonography diagnosed.The diagnosed rate was 64.7%.5 cases of 7 cases were successful with cyclophosphamide.3 cases of 9 cases with uterine curettage or abortion after the treatment were successful.1 cases of patients with uterine bleeding in emergency uterine artery embolization operation was successful. Conclusion Early diagnosis is the key to this disease treatment. Drug
therapy is the foundation, and the hysteroscopy is a safe and effective diagnosis and treatment ways. [Key words] Uterine scar pregnancy after cesarean; Diagnosis; Treatment
剖宫产术后子宫瘢痕妊娠是一种较为罕见的异位妊娠类型，一旦发生，可能导致子宫破裂，引起无法控制大量出血而危机患者生命。本研究主要探讨该疾病目前常用的诊断和治疗方法，以更好地指导临床诊治，现报道如下。 1 资料与方法 1.1 一般资料
剖宫产术后子宫瘢痕妊娠的诊断与治疗
