剖宫产后子宫切口妊娠7例临床分析

Clinical analysis of cesarean scar pregnancy in 7 patients

目的探讨子宫切口妊娠的诊断及治疗方法。方法回顾分析2009年1月～2011年4月我院收治的7例剖宫产后子宫切口妊娠患者的临床资料。结果 3例行子宫动脉栓塞化疗,其中1例因先兆子宫破裂行次全子宫切除术,2例保守治疗成功;4例予氨甲蝶呤(MTX)单纯用药或配合清宫术均保守治疗成功。结论介入治疗及氨甲蝶呤杀胚治疗后可有效减少清宫术中、术后出血量,是治疗子宫切口妊娠的主要方法。

Objective To study the diagnosis and treatment of cesarean scar pregnancy.Methods The clinical data of 7 patients diagnosed as cesarean scar pregnancy from January 2009 to April 2011 were analyzed retrospectively.Results 3 patients were treated by transuterine artery chemotherapy and embolization,1 patient of them suffered supercervical hysterectomy due to rupture of uterus,the other 2 patients were conservatively treated.4 patients were successfully treated by conservation treatment of methotrexate（MTX） only or combined with dilatation and curettage.Conclusion Application of transuterine artery embolization and methotrexate are effective in reducing bleeding in dilatation and curettage.They are main therapeutic methods in handling cesarean scar pregnancy.