剖宫产术后早期子宫瘢痕部位妊娠11例临床分析

目的探讨剖宫产术后子宫瘢痕部位妊娠（CSP）早期诊断及治疗方法。方法对2002年至2008年我院收治的11例剖宫产瘢痕部位妊娠患者资料进行回顾分析。结果11例病例临床表现缺乏特异性，4例误诊为宫内早孕；1例误诊为滋养细胞疾病而给以化疗。阴道大出血4例给予子宫动脉栓塞后行清宫术；氨甲喋呤联合米非司酮治疗6例，4例成功，2例失败后行开腹局部病灶切除术。所有患者均痊愈出院，随诊HCG值至正常。结论超声检查是诊断CSP的简单可靠方法；子宫动脉栓塞可以迅速止血，栓塞后联合药物或手术治疗是安全有效的治疗方法，刮宫术前需用氨甲蝶呤联合米非司酮进行有效地杀胚治疗。

Clinic analysis of 11 cases of early cesarean scar pregnancy after caesarean section

Objective To study early diagnosis and treatment for caesarean scar pregnancy (CSP).Methods The data of 11 cases of CSP in our hospital from 2002 to 2008 was retrospectivly analyzed.Results Clinical manifestations of 11 cases was the lack of specificity,4 cases were misdiagnosed as intrauterine pregnancy,1 case misdiagnosed as gestational trophoblastic disease was given chemotherapy.The four cases of vaginal hemorrhea were given uterine artery embolism,and then given curettage.6 patients were treated with M...