剖宫产术后子宫瘢痕妊娠32例临床分析

目的探讨剖宫产术后子宫瘢痕妊娠(CSP)的临床特点,诊断和治疗方法。方法通过对32例子宫瘢痕妊娠(CSP)患者的临床观察,对其进行分析讨论。结果 30例患者有明显的停经史及早孕反应,2例表现为不规则阴道流血,查HCG结果增高。经治疗32例均痊愈出院。结论根据剖宫产病史,超声检查一般能明确子宫瘢痕妊娠(CSP),应提高对子宫瘢痕妊娠(CSP)的认识,禁止盲目刮宫术,甲氨喋呤(MTX)+米非司酮及子宫动脉介入治疗或子宫切开取胚术是可选择的安全有效的治疗方法。

Analysis of 32 Cases Uterine Scar Pregnancy of Caesarean Post-Operative

Objective to discuss its clinical features,diagnosis and treatment Of the uterine cesarean section scar pregnancy (CSP).Methods Through the 32 cases of uterine scar pregnancy (CSP) in patients with clinical observations,its analysis and discussion.Results 30 patients with significant history of menopause,and early response,2 patients showed irregular vaginal bleeding,HCG results increased.After Treatment 32 cases were cured.Conclusion According to a history of cesarean section,ultrasound examination of uterine scar pregnancy is generally clear (CSP),we should increase knowledge of the uterine scar pregnancy (CSP),prohibit blind dilatation and curettage,a dish of MTX+mifepristone and uterine artery intervention or embryo uterine incision technique is safe and effective alternative treatment.