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目的探讨剖宫产后子宫瘢痕处妊娠的临床处理方法。方法选取2010年5月至2012年5月本院收治的34例剖宫产后子宫瘢痕处妊娠的患者为研究对象,探讨其临床处理方法。结果 34例患者中行B超下清宫术11例、子宫全切术5例、子宫切开取胚和瘢痕切除修补术18例。其中,7例患者B超引导行人流治愈、2例二次清宫治愈、2例行清宫术时大出血给予介入治疗。结论给予剖宫产后子宫瘢痕处妊娠及时诊断,有利于防治B超下行清宫术时感染及出血等并发症的发生;剖宫产后子宫瘢痕处妊娠出血给予及时的子宫峡部切开及瘢痕切除修补术可以保全子宫,值得临床推广和应用。
Objective To investigate the clinical treatment of uterine scar pregnancy after cesarean section. Methods From May 2010 to May 2012, 34 pregnant women with cesarean section uterine cesarean pregnancy who were treated in our hospital were selected as research objects and their clinical treatment methods were explored. Results 34 patients underwent B-sub-hysteroscopic surgery in 11 cases, hysterectomy in 5 cases, hysterectomy and scar excision and repair in 18 cases. Among them, 7 cases of patients with B-guided pedestrian flow cure, 2 cases of second cure, 2 cases of curettage when hemorrhage given interventional therapy. Conclusions Cesarean scar pregnancy at the time of cesarean section timely diagnosis is conducive to the prevention and treatment of B-down curettage infection and bleeding complications; cesarean section uterine scar pregnancy bleeding to give a timely isthmus incision and scar excision Repair can preserve the uterus, it is worth clinical promotion and application.