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目的探讨如何早期诊断剖宫产子宫瘢痕部位妊娠,并根据具体情况采取有效治疗。方法回顾性分析我院11例剖宫产瘢痕妊娠病例的临床资料和治疗方法。结果 10例患者经血β-hCG测定、超声确诊,接受药物、介入或手术治疗。1例患者误诊行清宫术时发生大出血,急症手术时确诊。所有病例均好转或痊愈。结论剖宫产子宫瘢痕妊娠缺乏特异性临床表现,容易误诊处理不当造成难以控制的大出血。应加强对本病的认识,使早期诊断和成功治疗成为可能。
Objective To explore how to early diagnose cesarean section uterine scar pregnancy, and according to the specific circumstances to take effective treatment. Methods Retrospective analysis of 11 cases of cesarean scar pregnancy in our hospital clinical data and treatment. Results 10 cases of blood β-hCG determination, ultrasound confirmed, receiving drugs, interventional or surgical treatment. A case of misdiagnosis of patients with hemorrhage occurred during curettage, emergency surgery confirmed. All cases were improved or healed. Conclusion Cesarean scar pregnancy lack of specific clinical manifestations, easy to misdiagnosis caused by difficult to control the bleeding. The understanding of this disease should be strengthened so that early diagnosis and successful treatment are possible.