瘢痕妊娠：仅仅只治疗？  

The diagnosis, treatment and prevention of cesarean scar pregnancy

作　　者：贺晓琪[1] 韩黎[1] 王齐月 王泽华[1] 董卫红[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院妇产科,武汉430022

出　　处：《中国医师杂志》2015年第4期498-500,505,共4页Journal of Chinese Physician

摘　　要：目的 通过对瘢痕妊娠治疗结果的分析,呼吁全社会对瘢痕妊娠的重视.方法 回顾性分析武汉协和医院妇产科2009年1月至2012年12月剖宫产后瘢痕妊娠的发生、治疗、平均住院时间和平均住院费用变化.结果 2009、2010、2011、2012年本院收治瘢痕妊娠患者分别为10、19、29、46例,占同期妇科住院患者总数的0.33％,0.63％,0.97％,1.53％.双侧子宫动脉栓塞术＋清宫术是治疗瘢痕妊娠的有效方式.本院瘢痕妊娠平均输血率为25％,住院时间（14 ±8）d,住院费用（12 954.97±3 888.89）元.结论 我国瘢痕妊娠的发病率在急剧上升.尽管目前的治疗方法能最大程度降低瘢痕妊娠的并发症,但瘢痕妊娠给妇女带来的伤害和给社会和家庭带来的负担仍不容忽视.降低剖宫产率、加强育龄妇女剖宫产术后避孕宣教是降低瘢痕妊娠发生的关键.Objective To remind the attention to contraceptive in cesarean section group by analyzing the treatment of 104 cases cesarean scar pregnancy （CSP）.Methods From April 2009 to November 2012,104 patients with CSP treated in Department of Obstetrics and Gynecology,Wuhan Union Hospital were studied retrospectively.The incidence,treatment,and average in hospital days and average cost of hospitalization were analyzed.Results From 2009 to 2012,the number of CSP was 10,19,29,and 46 cases annually which accounted for the proportion of the corresponding period of gynecological patients were 0.33%,0.63%,0.97%,and 1.53%.Bilateral uterine artery embolization plus curettage was the most effective treatment.The average transfusion rate was 25%.The average amount of in-hospital days were （14 ± 8） days,the average cost of hospitalization were （12954.97 ± 3888.89） yuan.Conclusions The CSP incidence was increasing sharply in China.Although the current treatment methods could greatly reduce complications of CSP,it did harm to the patients and their family.The key to reduce the occurrence of CSP included reducing the rate of cesarean section,and strengthening contraceptive education after cesarean section.

关 键 词：妊娠 异位/治疗 子宫/病理学 瘢痕 

分 类 号：R714.22[医药卫生—妇产科学]