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剖宫产瘢痕妊娠42例临床分析

周明 郭蓉 周芸 刘娓娓 罗忆 张雯娟

中国现代手术学杂志2012,Vol.16Issue(2):148-150,3.
中国现代手术学杂志2012,Vol.16Issue(2):148-150,3.

剖宫产瘢痕妊娠42例临床分析

Clinical Analysis of 42 Cases of Cesarean Scar Pregnancy

周明 1郭蓉 1周芸 1刘娓娓 1罗忆 1张雯娟1

作者信息

  • 1. 广东省深圳市第五人民医院妇产科,深圳518001
  • 折叠

摘要

Abstract

Objective To discuss the etiological factor, clinical characteristics, early diagnosis and treatment methods of cesarean scar pregnancy ( CSP). Method 42 cases of CSP in our hospital between January 2008 and December 2011 were retrospectively analyzed. Results The CSP cases accounted for 1. 81% (42/2 316) in ectopic pregnancies. All patients received color Doppler ultrasonography examinations , and 33 of them were final diagnosed with the diagnosis rate of 78. 57% . 30 CSP patients received u-terine curettage under hysteroscope, 6 patients got surgery and medication, 3 patients got uterine artery embolization therapy, 2 patients got abdominal operation and 1 patient got hysterectomy. Conclusions There is an increasing tendency of CSP in recent years. Color Doppler can give guidance to the early diagnosis , treatment and following-up of CSP because of the sonographic specificity of CSP. Uterine curettage under hysteroscope is safe and effective for CSP, with the advantage of minimal invasion, shorter duration of the operation, less blood loss and quick recovery.

关键词

妊娠,异位/早期诊断/宫腔镜检查/刮宫术

Key words

pregnancy,ectopic/ early diagnosis/ hysteroscopy/ dilatation and curettage

分类

医药卫生

引用本文复制引用

周明,郭蓉,周芸,刘娓娓,罗忆,张雯娟..剖宫产瘢痕妊娠42例临床分析[J].中国现代手术学杂志,2012,16(2):148-150,3.

中国现代手术学杂志

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