剖宫产疤痕妊娠18例临床分析  

Clinical analysis of 18 cases about caesarean scar pregnancy

作　　者：张丽丽 邱剑萍 沈建花 陆秀芳 陈碧芳 ZHANG Li-li;QIU Jian-ping;SHEN Jian-hua;LU Xiu-fang;CHEN Bi-fang(North District of Suzhou State Hospital Affiliated to Nanjing Medical University,Jiangsu Suzhou 215000,China)

机构地区：[1]南京医科大学附属苏州市立医院北区,江苏苏州215000

出　　处：《实用妇科内分泌电子杂志》2019年第3期10-12,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨剖宫产疤痕妊娠的诊断和治疗方法。方法对18例剖宫产疤痕妊娠患者的临床资料进行回顾性分析。结果腹腔镜监护下清宫2例,UAE后超声引导下清宫4例,宫腔镜下治疗3例,药物治疗后行单纯超声引导下清宫术7例,其中采用球囊压迫止血4例,大出血并输血2例。结论超声是剖宫产疤痕妊娠诊断的主要手段,联合核磁共振可明显提高诊断准确性,更利于临床分型和评估。采取个体化、综合治疗和应急处理,无一例脏器损伤和子宫切除,预后良好。Objective TO explore the diagnosis and treatment of cesarean scar pregnancy. Methods The clinical data of 18 patients with caesarean scar pregnancy were analyzed retrospectively. Results Two patients were treated by suction dialation and curettage under laparoscope guiding. Three patients accepted hysteroscopic surgery, Four patients applied curettage with B-ultrasound guiding after uterine artery embolization operation. Seven patients only received curettage with B-ultrasound guiding after medicine treatment, four out of seven patients applied balloon compression to hemostasis,and only two patients occurred hemorrhage and blood transfusion.Conclusion Ultrasound is the main diagnostic choice, combined with MRI may increase accuracy rate of diagnosis. did more benefit to evaluation and clinical classification. Adopted Individual. comprehensive and emergent treatment, therefor none patient had visceral organ injury and hysterectomy, prognosis was favourable.

关 键 词：剖宫产疤痕妊娠 剖宫产 异位妊娠 

分 类 号：R714[医药卫生—妇产科学]