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目的探讨剖宫产术后子宫瘢痕妊娠的诊断和治疗方法。方法对2002年12月至2006年12月我院收治的8例CSP患者的临床资料进行回顾性分析。结果8例患者中5例治疗前经超声检查明确诊断,3例刮宫术中出现阴道大出血。3例单纯行甲氨蝶呤(MTX)保守治疗成功,2例行子宫动脉动脉栓塞治疗成功,保留了生育功能,3例行全子宫切除术。结论超声是诊断CSP简便而可靠的方法,子宫动脉栓塞可迅速止血,保留生育功能,单纯MTX保守治疗是一种安全而有效的方法。
Objective To investigate the diagnosis and treatment of uterine scar pregnancy after cesarean section. Methods The clinical data of 8 CSP patients admitted to our hospital from December 2002 to December 2006 were analyzed retrospectively. Results Among 8 patients, 5 cases were diagnosed by ultrasonography before treatment and 3 cases had vaginal bleeding during curettage. 3 cases of simple methotrexate (MTX) conservative treatment was successful, 2 cases of uterine artery embolization success, retained fertility, 3 cases of hysterectomy. Conclusion Ultrasound is a simple and reliable method for the diagnosis of CSP. Uterine arterial embolization can quickly stop bleeding and preserve fertility. Simple MTX conservative treatment is a safe and effective method.