国际生殖健康计划生育杂志2016，Vol.35Issue(2)：113-117,127,6.
剖宫产瘢痕部位妊娠的中文文献再分析
Cesarean Scar Pregnancy:New Analysis on Chinese Literatures
骆文香 1杨秀兰 1刘婕娜 1张坚 1张鸿慧 1崔向华 1孙超 2孙岩 1朱丽娟 1王爱丽 1石丽芳 1陈金婵1
作者信息
- 1. 210002 南京，中国人民解放军第四五四医院妇产科
- 2. 江苏省南京市晨光医院妇科
- 折叠
摘要
Abstract
Objective:To understand the present situation of cesarean scar pregnancy ( CSP ) in China . Methods:The WANFANG database was used to search all Chinese literatures on the CSP from 1982 to 2015 by the key words as "scar pregnancy", "pregnancy at the scar", "incision pregnancy" or all kinds of the Chinese expressions of "scar pregnancy", and by the search strategy as "cross-database search" and "all the journals". Statistical analysis was based on multiple parameters , including the province (or municipality), the year of publication, the rank of hospital, and the related complications. Results: ①There were a total of 4 281 articles on CSP and 114 571 cases. Thirty provinces (or municipalities) were involved, including the top 5 provinces of Guangdong, Henan, Zhejiang, Jiangsu and Hubei;and the last 5 provinces of Xinjiang, Hainan, Ningxia, Gansu and Qinghai. ② The article on CPS was firstly published in 1999. The number of literatures and the number of cases were increased year by year. ③The numbers of literatures were 59.87%, 30.69%, 2.50%, 1.38% and 5.56%; the numbers of cases 60.03%, 30.93%, 2.41%, 1.20% and 5.43%, in five ranks of hospitals: tertiary hospital, secondary hospital, primary hospital, other medical institution like the family planning guidance and service center, and other unasserted hospital. ④The numbers of cases of CSP at the early stage, the middle stage and the late stage of pregnancy were 98.70%, 0.60%and 0.70%, respectively. The incidences of abnormal placenta, abnormal pregnancy and other complications were 0 . 91%, 0 . 04% and 0 . 01%. Thirteen cases (0.01%) of IVF-ET were recorded. Conclusions:①There was a possible regional characteristic on the CSP in China. ②CSP showed a rapid increasing trend year by year. ③The fundamental measures to prevent or reduce CSP include preferably understanding the potential serious complications of CSP after cesarean section, strictly mastering the indication of cesarean section and controlling the rate of cesarean section.关键词
剖宫产术/瘢痕/妊娠,异位/流行病学研究Key words
Cesarean section/Cicatrix/Pregnancy,ectopic/Epidemiologic studies引用本文复制引用
骆文香,杨秀兰,刘婕娜,张坚,张鸿慧,崔向华,孙超,孙岩,朱丽娟,王爱丽,石丽芳,陈金婵..剖宫产瘢痕部位妊娠的中文文献再分析[J].国际生殖健康计划生育杂志,2016,35(2):113-117,127,6.
