Abstract:

Objective To investigate the etiology,diagnosis,treatment on the pregnancy in lower part of uterus.Methods Twenty-six women of the pregnancy in lower part of uterus were treated in the last ten years,and the cases were analyzed.Results In this study,18 cases about the lower uterine segment pregnancy.Of these cases,11 patients were treated with methotrexate and Chinese medicine,3 patients with medicine induced abortion,4 patients adopted dilatation and curettage. one of the eleven patients had hysterectomy.There were 8 cases about placenta increta.Of these cases,5 patients adopted abortion and curettage,3 patients had caesarean section,2 of the three patients had hysterectomy for active bleeding.Conclusion Previous curettage and caesarean section are the risk factors of the pregnancy in lower part of uterus.Its treatment methods depend on the pregnant weeks,the part of placenta implantation,the blood loss,the blood signal under ultrasonic examination and the HCG value.We must have a good preparation for the emergency,and have hysterectomy necessarily.

Key words: ectopic pregnancy, lower uterus, methotrexate