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目的探讨剖宫产切口瘢痕妊娠(CSP)的诊断以及治疗方法。方法回顾性分析郑州市中心医院2007-07-2010-10收治的8例CSP病例。结果 2例行选择性子宫动脉栓塞术+刮宫术,1例急诊行子宫全切术,5例患者药物治疗,其中1例辅以刮宫术,1例由于先兆子宫破裂而开腹行楔形切除瘢痕处病灶+子宫动脉缝扎术,余3例药物治疗坚持随诊成功。结论超声(阴式彩超)是子宫切口妊娠的首选影像学诊断方法,药物治疗简单易行,介入治疗安全有效,密切随访不容忽视。
Objective To investigate the diagnosis and treatment of cesarean section scar pregnancy (CSP). Methods Retrospective analysis of 8 cases of CSP treated in Zhengzhou Central Hospital from July 2007 to October 2010. Results 2 cases underwent selective uterine artery embolization + curettage, 1 case underwent emergency hysterectomy and 5 cases underwent drug cure. One case was assisted by curettage and the other was open wedge excision due to threatened uterine rupture Department of lesions + uterine artery suture, more than 3 cases of drug treatment adhere to successful follow-up. Conclusion Ultrasonography (VAS) is the first choice of imaging diagnosis for uterine incision pregnancy. The drug treatment is simple and easy, and the interventional treatment is safe and effective. Close follow-up can not be ignored.