剖宫产术后瘢痕部位妊娠20例诊疗分析  

Treatment and Diagnosis of Cesarean Scar Pregnancy

作　　者：潘春煦[1] 韩林飞[1] 杨鹏[1] 胡云霞[1] 

机构地区：[1]天津市中心妇产科医院,天津300052

出　　处：《国际妇产科学杂志》2009年第1期82-84,共3页Journal of International Obstetrics and Gynecology

摘　　要：目的:探讨预防、诊断和治疗剖宫产术后子宫切口瘢痕部位妊娠的有效方法。方法:对2003年6月-2008年7月收治的20例剖宫产瘢痕部位妊娠患者的临床资料进行回顾性分析。结果:超声检查为诊断子宫切口妊娠的主要依据。明确诊断后患者的治疗效果明显优于未确诊前开始治疗者。借助于妊娠部位血流阻断的处理方式好于直接进行吸宫。两组比较,结局差异具有统计学意义(P<0.05)。结论:早期诊断是成功治疗剖宫产术后子宫切口瘢痕部位妊娠的关键,介入治疗是最快捷有效的治疗方法,经腹或经腹腔镜保守手术,以及全身或局部使用甲氨蝶呤(MTX)后吸宫的治疗效果明显优于单纯吸宫。Objective：To investigate better methods for diagnosing and treating cesarean scar pregnancy.Methods：We retrospectively analyzed the diagnosis, treatment and outcomes of 20 patients with cesarean scar pregnancies that were admitted to our hospital between June 2003 and July 2008. Results：Early diagnosis is important for determining the ultimate outcome of treatment. Although abortion of the pregnancy is a common treatment,Unblooding appears to produce a better treatment outcome. Condusion：Sonographic screening plays a key role in diagnosing cesarean sear pregnancy. Detailed observation of the location, size and vaseularity of the pregnancy are important in making a clear diagnosis and for differentiating between an abortion in progress and a cesarean scar pregnancy, interviewed treatment is the most effective way, both abortion helped by MTX and adaption operation are also treatment methods to selective.

关 键 词：异位妊娠 剖宫产后切口 妊娠 诊断 治疗 

分 类 号：R714.22[医药卫生—妇产科学]