[摘要] 目的 探讨剖宫产瘢痕妊娠的病因、临床诊断和治疗。方法 回顾性分析32例子宫瘢痕妊娠病例的临床表现、病程、超声检查及不同治疗的效果。结果 子宫瘢痕妊娠早期症状无特异性,误诊率34.4%，诊断依赖阴道彩超。压迫止血有效率87%，化疗、米非司酮联合中药治疗的治愈率为Ⅰ型100%；Ⅱ型62.5%；Ⅲ型33.3%；总治愈率69.6%，介入治疗的治愈率100%。结论 阴道彩超是临床早期诊断的子宫瘢痕妊娠金标准,且在治疗方案的选择中起到决定性作用。清宫术并不适用所有病例，MTX或子宫动脉栓塞术较安全。

    [关键词] 子宫瘢痕妊娠； 阴道彩超； 氨甲喋呤； 子宫动脉栓塞术

    [中图分类号] R197.32 [文献标识码] A [文章编号] 1005-0515(2011)-12-007-01

    [Abstract] Objective Inquire into the reasons,diagnosis and treatment of Cesarean scar pregnancy. Methods Clinical manifestations, course of disease, ultrasound examination and different treatment effects of 32 cases of cesarean scar pregnancy were reviewed retrospectively. Results The symptom of early pregnancy in cesarean section scars is non-specific, due to a misdiagnosis rate of 34.4%.Diagnosis of early pregnancy in cesarean section scars depends on transvaginal color Doppler ultrasound. Hemostasis by pressure efficiency 87% ......