剖宫产术后子宫瘢痕妊娠误诊原因探讨  

Discussion of the misdiagnosed reasons of uterine scar pregnancy after cesarean section

作　　者：张爱武[1] 徐友娣[1] 

机构地区：[1]南京医科大学附属南京第一医院妇产科,江苏南京210006

出　　处：《现代医学》2012年第4期447-448,共2页Modern Medical Journal

摘　　要：目的:探讨剖宫产术后子宫瘢痕妊娠的误诊原因、临床特点,做到早期诊断,选择正确的治疗方法。方法:回顾分析我院(包括由外院转诊至我院)收治病人的诊治情况。结果:由于对剖宫产术后子宫瘢痕妊娠的认识不足,易与流产、葡萄胎等疾病相混淆,超声检查是防止误诊的关键。结论:提高妇科医生对该疾病的认识及重视,任何有剖宫产病史的妇女早期妊娠时都应行超声检查,以早期发现瘢痕妊娠,避免误诊误治。Objective： To discuss the misdiagnosed reasons and clinical characteristics of cesarean scar pregnancy after cesarean section,then make the early diagnosis and choose a appropriate treatment.Methods： The clinical data of patients in our hospital including transferred to our hospital were collected for retrospective analysis.Results： Insufficient understanding about cesarean scar pregnancy could induce confusion with abortion and vesicular mole.Experienced ultrasonic examination was the key for prevention of misdiagnosis.Conclusion： Gynecologist should pay more attention to this disease.Ultrasonic examination should be included into the routine test of early pregnancy women with cesarean section history in order to find early and prevent misdiagnosis and therapeutic errors.

关 键 词：剖宫产 瘢痕妊娠 误诊原因 超声诊断 

分 类 号：R714.22[医药卫生—妇产科学] R445.1[医药卫生—临床医学]