国际妇产科学杂志Issue(3)：311-316,6.
剖宫产术后子宫瘢痕妊娠的诊治决策
The Influencing Factors and Treatment of Cesarean Scar Pregnancy
摘要
Abstract
Objective:To investigate the influencing factors of cesarean scar pregnancy (CSP) and the suitable measures of diagnosis and treatment. Methods:From January 2007 to August 2012,51 cases were diagnosed as CSP in our hospital. The patients′information were analyzed such as the indications of cesarean, postoperative recovery and the CSP time. According to patients′ condition curettage, uterine artery embolism, laparoscopic and/or hysteroscopic treatment, exsecting the focus per vagina, hysterectomy were selected. Results:All the cases were diagnosed by transvaginal ultrasound. The time of occurrence CSP were 5-147 months (average 60.5±9.5). Gravidity 2-6. Excepting 10 (19.61%) cases performed cesarean after uterine contraction , 41 ( 80 . 39%) cases were selectively cesarean without any uterine contraction . 48 ( 94 . 12%) cases were cured successfully by conservative treatment. Of those 8 cases with ultrasonic monitoring, 19 cases after uterine artery embolism, 8 cases monitored by laparoscope or/and hysteroscope, 11 intramuscular or cervical injection with methotrexate, 2 anterior uterine wall neoplasty per vagina. 3 cases were performed hysterectomy with heavy bleeding, one case died of hemorrhagic shock. Conclusions:CSP are high-risk pregnancy, it′s very important with early diagnose and suitable treatment. Transvaginal ultrasound is the preferred diagnostic method of CSP.关键词
剖宫产术/瘢痕/妊娠,异位/诊断/治疗Key words
Cesarean section/Cicatrix/Pregnancy,ectopic/Diagnosis/Therapy引用本文复制引用
翟军迎,关铮,刘慧,李亚里..剖宫产术后子宫瘢痕妊娠的诊治决策[J].国际妇产科学杂志,2014,(3):311-316,6.
