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目的对剖宫产后子宫瘢痕处妊娠处理方法及效果进行观察分析。方法 68例剖宫产后子宫瘢痕处再妊娠患者作为研究对象,对其临床处理方法及效果进行观察分析。结果 68例孕妇处理方法:B超监护下采用甲氨蝶呤治疗27例,子宫切除术17例,B超引导下人工流产10例,子宫切开取胚及瘢痕切除修补术8例,二次清宫6例,所有孕妇经相应治疗后均治愈。结论及时诊断剖宫产后子宫瘢痕处妊娠,并根据患者病情给予相应治疗有着重要的临床意义,病情基本稳定患者可通过保守治疗,病症严重危险患者可给予手术治疗。
Objective To observe and analyze the method and effect of pregnancy treatment of uterine scar after cesarean section. Methods 68 cases of cesarean section after uterine scar pregnancy as the object of study, the clinical treatment methods and effects were observed and analyzed. Results Sixty-eight pregnant women were treated with methotrexate under ultrasound B, 27 cases underwent hysterectomy, 10 cases induced by B-ultrasound, 8 cases underwent hysterectomy and scar excision and repair, 6 cases of Qing, all pregnant women were cured after the corresponding treatment. Conclusions The timely diagnosis of pregnancy after uterine scar pregnancy after cesarean section and the corresponding treatment according to the patient’s condition have important clinical significance. Patients with stable disease can be treated conservatively and patients with severe disease may be given surgical treatment.