剖宫产术后子宫瘢痕部妊娠  

Cesarean Scar Pregnancy

作　　者：孟庆琴[1] 

机构地区：[1]天津市静海县医院妇科,天津301600

出　　处：《医学综述》2008年第18期2816-2818,共3页Medical Recapitulate

摘　　要：子宫瘢痕部妊娠是指孕囊着床于前次剖宫产瘢痕处的异位妊娠,临床较少见。主要表现为停经和阴道出血,容易误诊为宫内早孕流产。对该病的早期诊断及有效治疗对保留生育功能至关重要。子宫瘢痕部妊娠的诊断主要依靠剖宫产术后再次妊娠、B超、磁共振成像及人绒毛膜促性腺激素测定。治疗的主要目的是排除妊娠物及保留生育功能,方法包括药物治疗及刮宫术、子宫前壁病灶切除术、子宫动脉栓塞术,病情严重者需行全子宫切除术。Cesarean scar pregnancy is a extra-uterine pregnancy that embryo is adhered to cesarean scar. which is less found inclinic. The main manifestation are menelipsis and vaginal bleeding, which is usually misdiagnoised as abortion in early pregnant stage. Early diagnosis and effective treatment are very important for remaining fertility. The diagnosis of cesarean scar pregnancy is mainly depended on the fact that pregnancy after cesarean, B Ultrasound, magnetic resonance image （MRI）, and chorionic gonadotrophin assay. The purposes of treatment are termination of pregnancy and remaining fertility ,The related means of treatment include drug treatment and dilatation and curettage,partial resection of anterior uterine lesion and repairing of the uterine as well as uterine arterial embolism. Some critical cases have to perform uterectomy.

关 键 词：剖宫产瘢痕部妊娠 诊断 保守治疗 

分 类 号：R714.22[医药卫生—妇产科学]