子宫剖宫产疤痕妊娠中宫腔镜的应用  

Application of hysteroscopy in uterine caesarean scar pregnancy

作　　者：李琼[1] 冯淑英[2] 李小毛[3] 罗启东[2] 

机构地区：[1]南方医科大学附属华瑞医院妇产科,广东广州510630 [2]中山大学附属第二医院妇产科,广东广州510120 [3]中山大学附属第三医院妇产科,广东广州510630

出　　处：《中国内镜杂志》2009年第1期82-85,共4页China Journal of Endoscopy

摘　　要：目的探讨子宫剖宫产疤痕妊娠病因和治疗中宫腔镜的应用。方法应用宫腔镜观察48例有剖宫产史者的宫腔切口疤痕,同时收集32例剖宫产疤痕妊娠病例回顾性分析。结果宫腔镜下见疤痕有多种不同的形式和增生血管,疤痕妊娠流产术中易发生大出血,多数病例经MTX或子宫动脉栓塞术+刮宫术或宫腔镜电切术治愈。结论宫腔镜下见多种疤痕形式可以很好解释疤痕妊娠的临床特征,宫腔镜电切术较刮宫术相对更安全、有效。【Objective】To investigate the application of hysteroscopy in etiopathogenisis and treatment of uterine caesarean scar pregnancy.【Methods】Go to 48 hysteroscopy cases with history of cesarean section and 32 cases diagnosis of caesarean scar pregnancy on retrospective case series.【Results】There were many different kinds of scars and proliferative blood vessels on the scare.Hemorrhea usually took place in induced abortion of caesarean scar pregnancy.The effect of MTX or uterus arterial embolism ＋ dilatation and curettage or electrotomy by hysteroscopy was good in the great majority of cases.【Conclusion】Many different kinds of scars can completely explain the clinical feature of caesarean scar pregnancy,electrotomy by hysteroscopy is more safety and effective than dilatation and curettage.

关 键 词：剖宫产疤痕 妊娠 宫腔镜 病因 治疗 

分 类 号：R719.8[医药卫生—妇产科学]