子宫切口瘢痕处妊娠15例临床分析

摘要

Objective To study the measures of treating cesarean scar pregnancy. Methods Choosed 15 cases of cesarean scar pregnancy patients from Feb. 2008 to Dec.2013 to analyze retrospectively the diagnosis and treatment. Results There were 7 cases (46.67%) vaginal bleeding badly to hysterectomize successfully. And there were 5 cases (33.33%) treated with methotrexate combining evacuation successfully. There were 3 cases (20.0%) treated with uterine artery embolization. Conclusion Treating cesarean scar pregnancy shouldβ-HCG diagnose timely and accuracy to make patients safe.%目的：分析研究剖宫产术后子宫切口瘢痕处妊娠的临床诊断与治疗措施。方法选取2008年2月～2013年12月在嘉陵区妇幼保健院及我院进行剖宫产手术以后GSP（子宫瘢痕妊娠）的患者共15例，对15例患者的相关临床资料给予回顾性分析。结果本文共15例患者，其中采取药物治疗共7例，占总体的46.67%；采取子宫动脉栓塞术治疗共5例，占总体的33.33%；采取腹腔镜局部病灶切除术和子宫修补术的共3例，占总体的20%。本文没有1例患者采取子宫切除术，所有患者均完全治愈，出院以后复查，没有1例患者出现相关并发症。结论子宫瘢痕处妊娠采取超声和β-HCG检查，可以使确诊率明显提高，同时根据病情的具体情况，采取药物治疗、手术治疗或者子宫动脉栓塞治疗，可以取得显著的疗效，使患者健康生活质量明显提高。