剖宫产术后子宫瘢痕妊娠63例临床分析

The Analysis of 63 cases of cesarean scar pregnancy

目的:探讨剖宫产术后子宫瘢痕妊娠的诊断及治疗方法。方法:回顾性分析收治的符合子宫瘢痕妊娠诊断标准的63例患者的临床资料。结果:63例CSP患者中有59例在治疗前经阴道彩超检查确诊,占93.7%;63例患者均行清宫术治疗,UAE后行清宫术、UAE+MTX后清宫术、单纯清宫术三种方法在停经时间、手术时间、出血量以及术后hCG下降情况方面比较,差异无统计学意义(P>0.05);所有患者均月经复潮,平均(32.2±9.8)d,无再次CSP发生。结论:彩超在CSP早期诊断方面具有重要作用,UAE后行清宫术、UAE+MTX后清宫术均具有较好的疗效。

Objective To investigate the diagnosis and treatment of cesarean scar pregnancy. Method Retrospective analyzed the clinical data of 63 patients who were diagnosed with uterine scar pregnancy. Results 59 of 63 patients were diagnosed by transvaginal ultrasound;63 patients underwent curettage treatment including UAE underwent curettage, UAE ＋ MTX after curettage and curettage a- lone. there was no significant difference at the time of menopause, surgical time, blood loss and postoperative decline in hCG（ P 〉 0. 05 ） ;All patients were menstruation after （ 32.2 _＋ 9. 8） d, no CSP happened again. Conclusion Ultrasound in the CSP has an important role in ear- ly diagnosis, UAE underwent curettage, UAE ＋ MTX after curettage have a satisfactory effect.