剖宫产术后子宫疤痕部位妊娠临床治疗分析

Clinical analysis of uterus scar pregnancy after cesarean section

目的:探讨疤痕子宫妊娠(CSP)的早期诊断和早期治疗的方法。方法:回顾性分析我院收治的8例CSP的临床资料。结果:CSP的发生率为1/1317,血β-HCG转为正常时间,依次为异位病灶切除术,子宫动脉栓塞术+清宫术,氨甲蝶呤全身药物治疗。结论:CSP超声检查使其早期诊断成为可能,子宫动脉栓塞为首选,能迅速止血或预防出血,单纯MTX药物治疗可以有效终止妊娠,但潜在有子宫破裂的危险,手术切除疤痕妊娠及修补,有助于HCG恢复。

Objective：To explore the early diagnosis and early treatment of eesarean seetion scar pregnancy （CSP）. Methods： Retrospective analysis of eight eases in our hospital CSP was performed. Results：CSP incidence was 1/1317. The time of serum β-HCG turning to normal was in sequence of excision of eetopie loci. uterine artery embohzation ＋uterine curettage and systemic methotrexate treatment. Conclusion：Ultrasonography is able to early diagnosing CSP. Uterine artery embolization is first choice to quickly stop bleeding or prevent bleeding.MTX treatment alone can effectively terminate pregnancy,but there is potential risk of uterine rupture. Surgical removal of sear pregnancy and repair contributes to the restoration of HCG.