剖宫产术后子宫疤痕处妊娠35例临床分析

目的:分析剖宫产术后子宫疤痕处妊娠的发病原因,增强子宫疤痕处妊娠的预防、早期诊断及积极治疗效果。方法:回顾研究2000年6月～2009年6月收治子宫疤痕处妊娠患者62例,分析其发病原因、治疗、预后情况。结果:子宫疤痕处妊娠的发生率为6%,缺乏必要的B超检查、与上次剖宫产之间间隔时间、剖宫产次数及早期对本病认识不足等因素是导致剖宫产术后子宫疤痕处妊娠的重要原因,对于确诊为剖宫产术后子宫疤痕处妊娠的患者,行腹部B超引导下的妊娠囊内注射甲氨蝶呤能够得到有效治愈。结论:剖宫产术后子宫疤痕处妊娠严重危害妇女的安全,B超是早期诊断疤痕处妊娠的有效手段。

Clinical analysis on 35 cases of scar pregnancy after cesarean section

Objective:To analyze the etiology of scar pregnancy after cesarean section,and heighten prevention,early diagnosis and effect of active treatment.Methods:62 women of scar pregnancy after cesarean section from June 2000 to June 2009 were analyzed retrospectively,the etiology,treatment and prognosis were analyzed.Results:The incidence of scar pregnancy was 6%,the causes of scar pregnancy after cesarean section were lack of necessary B-ultrasonic examination,time interval between the previous cesarean section ...