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目的总结子宫疤痕妊娠的临床诊治经验。方法收集本院2013年1月至2016年6月收治的剖宫产术后子宫疤痕妊娠患者28例的临床资料,分析其临床表现及治疗方法。结果 28例患者手术顺利,术中出血50~400 m L,住院时间13~24 d。无患者行全子宫切除术,未发生手术并发症。术后血β-HCG水平恢复至正常时间为10~40 d;术后2周复查B超均提示正常。术后月经恢复时间为21~50 d。结论子宫疤痕妊娠的早期诊断十分重要。对有剖宫产病史及流产征象的患者,应提高警惕。确诊为子宫疤痕妊娠后,应综合考虑多方面因素,采取个体化治疗方案。
Objective To summarize the clinical diagnosis and treatment of uterine scar pregnancy. Methods The clinical data of 28 patients with uterine scar pregnancy after cesarean section were collected from January 2013 to June 2016 in our hospital. The clinical manifestations and treatment methods were analyzed. Results The operation of 28 patients was successful. The blood loss was 50 ~ 400 m L and the hospital stay was 13 ~ 24 d. No patient underwent hysterectomy, no complications occurred. Postoperative serum levels of β-HCG returned to normal for 10 to 40 days; 2 weeks after the review of B-ultrasound showed normal. Postoperative menstrual recovery time was 21 ~ 50 d. Conclusion Early diagnosis of uterine scar pregnancy is very important. Patients with history of cesarean section and abortion should be vigilant. After the diagnosis of uterine scar pregnancy, should take into account many factors, to take individualized treatment programs.