剖宫产术后子宫瘢痕部位妊娠诊治进展

剖宫产术后瘢痕部位妊娠(cesarean scar pregnancy,CSP)是一种罕见而危险的异位妊娠^([1]),如果未及时正确的诊断,可能导致严重后果,如大出血、弥漫性血管内凝血、子宫切除等,甚至危及生命^([2])。近年来文献报道CSP发生率随剖宫产的增加而逐年上升,该疾病也得到了妇产科医师的高度重视。现对CSP的临床表现、分型、诊断、治疗进行综述,为妇产科医师更加准确诊断及治疗提供参考。

Cesarean scar pregnancy is a rare and dangerous ectopic pregnancy, which could cause a seris of serious consequences such as hemorrhage, disseminated intravascular coagulation（ DIC）, hysterectomy even death if we could not diagnosed timely. I fs reported recently that the incidence rate of CSP is higher as the rise of cesarean section, and more and more obstetricians and gynecologists pay attention to it. This review will focus on the clinical manifestations, clinical classification, dignosis and treatment of CSP and provide reference for obstetricians and gynecologists.