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目的:分析并归纳剖宫产瘢痕妊娠(CSP)的临床表现及特点,并分析了CSP的早期诊断及治疗方法。方法:对2013年1月-2014年6月我院接收的64剖宫产瘢痕妊娠患者的治疗过程及临床表现进行分析。结果:观察的患者平均年龄为30.5岁,均接受过子宫下段剖宫产的经历及停经史。其中有42例患者在停经后出现了阴道中度流血的现象,12例被误诊为正常怀孕或难免流程而实行了人流或药流,10例应出现阴道大出血而进行了破腹产,在术后对病情进行了确诊,其他患者均通过超声波多普勒检查而确诊。结论:剖宫产瘢痕妊娠的临床表现没有明显的特征,容易被误诊为正常怀孕或难免流产,在进行检查时应根据患者的病情进行全面的诊断,并根据患者的B-HCC值来确定治疗方案。
Objective: To analyze and summarize the clinical manifestations and characteristics of cesarean scar pregnancy (CSP) and to analyze the early diagnosis and treatment of CSP. Methods: The treatment course and clinical manifestations of 64 cesarean scar pregnancy patients in our hospital from January 2013 to June 2014 were analyzed. Results: The mean age of patients observed was 30.5 years. All had undergone cesarean section and history of menopause. Among them, 42 cases had moderate vaginal bleeding after menopause, 12 cases were misdiagnosed as normal pregnancy or unavoidable process, and the abortion or medical abortion were performed. Ten cases should have vaginal bleeding, The disease was diagnosed, other patients were diagnosed by ultrasound Doppler examination. Conclusions: The clinical manifestations of cesarean scar pregnancy have no obvious features and are easily misdiagnosed as normal pregnancy or unavoidable abortion. The examination should be based on the patient’s condition to conduct a comprehensive diagnosis, and according to the patient’s B-HCC value to determine the treatment Program.