浅谈剖宫产术后子宫瘢痕处妊娠10例临床分析  

Clinical analysis of 10 cases cesarean scar pregnancy

作　　者：申太峰[1] 李晓茹[1] 庞岩[1] 

机构地区：[1]郑州市第一人民医院妇产科,450004

出　　处：《中国现代药物应用》2014年第14期20-21,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨剖宫产术后子宫瘢痕处妊娠的临床治疗方法。方法回顾性分析10例剖宫产术后子宫瘢痕处妊娠的临床病例资料。结果所有患者先前均行剖宫产及有停经史,其血人绒毛膜促性腺激素（HCG）水平升高。10例患者经有效治疗后,其血HCG均减少至正常水平,顺利控制出血,术后1～2个月患者行彩超检查,结果提示宫内回声正常;同时月经也恢复正常。所有患者均痊愈出院,子宫均保留。结论剖宫产术后子宫瘢痕处妊娠治疗较易引发出血,经有效治疗后,患者血HCG水平降低,出血减少,且生育功能均保留。Objective To investigate the clinical treatment of cesarean scar pregnancy. Methods Retrospectively analyzed clinical data of 10 cases of cesarean scar pregnancy, discussed the clinical treatment of cesarean scar pregnancy. Results All patients underwent cesarean section and history of menopause before, blood human chorionic gonadotropin（HCG） levels increased. After effective treatment for 10 patients, the serum HCG were reduced to normal levels, bleeding was successfully controlled, performed color ultrasound examination postoperative 1～2 month, results suggested that intrauterine echo was normal; while menstruation returned to normal. All patients were discharged, the uterus were reserved. Conclusion Treatment of cesarean scar pregnancy has a higher risk of bleeding, after effective treatment, serum HCG levels and bleeding are reduce, and reproductive functions are retained.

关 键 词：剖宫产术 子宫瘢痕处妊娠 临床治疗 

分 类 号：R714.22[医药卫生—妇产科学]