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目的:探讨剖宫产切口疤痕妊娠(CSP)的诊断、治疗方法及预后情况。方法:对近10年收治的13例剖宫产切口疤痕妊娠患者进行回顾性分析。结果:既往有人工流产刮宫史者10例,主要表现为停经(77%,10/13)及不规则阴道流血(77%,10/13),血β-hCG介于81~133 576 mIU/ml之间,其中入院后血β-hCG≥6 000 mIU/ml者为9例。B超均提示剖宫产切口疤痕妊娠可能。12例患者采用保守治疗成功,1例患者经手术切除妊娠组织成功。结论:B超和血β-hCG水平对剖宫产切口疤痕妊娠诊断帮助较大,多数可保守治疗获得成功,但需充分备血及做好手术切除子宫的准备。
Objective: To investigate the diagnosis, treatment and prognosis of cesarean section incisional scar pregnancy (CSP). Methods: Thirteen cases of cesarean section incisional scar pregnancy treated in the recent 10 years were retrospectively analyzed. Results: There were 10 cases of history of induced abortion, which were mainly menopause (77%, 10/13) and irregular vaginal bleeding (77%, 10/13), blood β-hCG ranged from 81 to 133 576 mIU / ml, among which 9 cases had β-hCG≥6000 mIU / ml after admission. B-ultrasound tips cesarean section scar pregnancy may be. Twelve patients were treated conservatively, and one patient was successfully surgically removed. Conclusion: B-ultrasound and blood β-hCG levels help cesarean section scar pregnancy diagnosis, most of which can be conservative treatment success, but the need for adequate blood preparation and surgical resection of the uterus.