Scar pregnancy has serious sequelae, because the uterine scar defect already exists during the cesarean section, and the timely healing is different from the surrounding normal tissue. If the embryo is implanted on the scar after accidental pregnancy, pelvic adhesions and even the possibility of embryo implantation may occur. The direct consequence is heavy uterine bleeding. The only way to save life is to perform a total abdominal hysterectomy. As the cesarean section rate increases, the chance of uterine scar pregnancy is also increasing. After years of exploration, we have gained a lot of experience in the treatment of scar pregnancy. The previous treatment method was to use MTX when there was no bleeding, or to use vacuum extraction. When heavy bleeding occurred, the uterine artery was embolized first, and then the uterus was cleaned after waiting for tissue organization. So far, surgical resection of the lesion has been the main treatment method. Among them, vaginal scar pregnancy surgery is the simplest and most effective, with fewer sequelae. According to experts, the uterus has scar defects after cesarean section, which means that even after healing, it is different from the surrounding normal tissues. The muscle fiber tissue is not only scarce but also thin. Many patients experience tissue necrosis around the lesion after interventional embolization. If the embryo is implanted on the scar after accidental pregnancy, pelvic adhesions and even the possibility of embryo implantation may occur. The direct consequence is heavy uterine bleeding. To save life, only open abdominal hysterectomy can be performed. In the absence of bleeding, interventional embolization treatment and other conservative treatments should not be used, and surgery should be chosen as early as possible. Experts believe that mothers and their families often pay too much attention to the pain of childbirth, but ignore the damage and sequelae caused by cesarean section to the human body, which is not advisable. If a woman accidentally becomes pregnant again after a caesarean section, she must go to the hospital for an ultrasound examination to get an early diagnosis and receive personalized treatment to ensure her life safety. |
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