剖宫产术后子宫瘢痕妊娠32例临床分析  

32 cases clinical analysis of cesarean scar pregnancy

作　　者：胡道琴[1] HU Dao-qin.(Department of Gynecology, the Maternal and Child Health Care Hospital of Jiangmen, Jiangmen, Guangdong 529000, Chin)

机构地区：[1]江门市妇幼保健院妇科,广东江门529000

出　　处：《中国优生与遗传杂志》2016年第12期95-97,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨剖宫产术后子宫瘢痕妊娠(CSP)的治疗方法和疗效。方法回顾性分析收治的32例CSP患者的临床资料。结果 25例行药物治疗联合B超监视下清宫术,7例行CSP妊娠物清除及子宫瘢痕修补术,治疗成功率分别为24/25,7/7。两组住院时间差异无统计学意义(P>0.05)。住院总费用及血β-HCG下降至正常时间的差异有统计学意义(P<0.05)。结论药物治疗联合清宫术治疗CSP简便、费用低、损伤小;阴式CSP妊娠物清除及子宫瘢痕修补术损伤小、恢复快、病灶清除彻底,二者均为有效、可行的治疗方法,应根据患者的具体情况选择个体化的治疗方案。Objective：To investigate the treatment and curative effect of cesarean scar pregnancy. Methods：32 cases of cesarean scar pregnancy were reviewed retrospectively. Results：25 patients received drug treatment and underwent suction curettage under sonographie guidance.7 patients adopted transvaginal removal of ectopic pregnancy tissue and repair of uterine defect. The success rate of treatment was respectively 24/25,7/7.The length of hospital stays between the two groups was similar. The difference was not significant. The difference of the hospital total cost and the time of serum β-HCG dropped to normal was statistically significant（P〈0.05）. Conclusions：The management of drug combined suction curettage is simple,low cost,small injury;the treatment transvaginal removal of ectopic pregnancy tissue and repair of uterine defect is small trauma,rapid recovery,the lesions cleared completely,both are effective and feasible treatment,should choose according to the specific condition of patients with individualized treatment plan.

关 键 词：剖宫产 子宫瘢痕妊娠 治疗 

分 类 号：R714.22[医药卫生—妇产科学]