生殖医学杂志2018，Vol.27Issue(3)：254-258,5.DOI:10.3969/j.issn.1004-3845.2018.03.012
复发性剖宫产瘢痕妊娠发生的临床分析
Clinical analysis for recurrent cesarean scar pregnancy
摘要
Abstract
Objective:To investigate the clinical characteristics of recurrent cesarean scar pregnancy(CSP and find out the risk factors for reducing the occurrence of recurrent CSP.Methods:The clinical data of 19 patients with recurrent CSP were analyzed retrospectively.The data included the maternal age,gravidity,the time of abortion,the number of cesarean section,the indications for cesarean section surgery,the surgical hospital grade,the interval between the first CSP and previous cesarean section,the interval between two CSP,and the classification(type Ⅰ,Ⅱ,Ⅲ,according to the classification standard of Chinese Medical Association in 2016),treatment method,operation time,bleeding volume,hospitalization days,presence of diverticulum after cesarean section were statistically analyzed.Results:Nineteen patients with recurrent CSP accounted for 1.53％ in the hospitalized patients with CSP at the same period.In 19 patients,only 3 patients had no the history of induced abortion or intrauterine operation;t he average number of induced abortion was(2.11 + 1.08).Among them,9 patients (47.37 ％)had 2 times or more early pregnancy abortion or medical abortion.78.95 ％ (15/19)patients did not enter the birth process during the first cesarean section and underwent elective cesarean section for various reasons.All patients were graded according to the CSP classification.The curative effects were good and all patients were cured.No adverse events were followed up.There was no statistical differences in uterine artery embolization rate,the operation time,the intraoperative blood loss and the hospitalization days between the two CSP(P＞0.05).The interval between two CSP was 3-60 months,of them 9 patients were within 12 months.The incision diverticulum existed in both two CSP cesarean sections.Conclusions:Repeated abortion history,elective cesarean section without indications,and presence of incision diverticulum after cesarean section are the high risk factors for recurrent CSP.However,its specific mechanism still needs further research and discussion.关键词
剖宫产瘢痕妊娠/复发性/子宫动脉栓塞Key words
Cesarean scar pregnancy/Recurrent/Uterine artery embolization引用本文复制引用
冯旺琴,陈素文,王珺..复发性剖宫产瘢痕妊娠发生的临床分析[J].生殖医学杂志,2018,27(3):254-258,5.基金项目
首都医科大学附属北京妇产医院青年基金专项课题资助(FCYYQN-201605) （FCYYQN-201605）
