摘要
目的:总结剖宫产子宫疤痕妊娠的临床特点、诊治方法及预后。方法:回顾性分析我院2004-2008年5年期间,诊断为剖宫产子宫疤痕妊娠的7例病例,对临床表现、超声检查、治疗方法的选择及结局进行分析。结果:7例均经超声确诊,症状出现前获早期诊断者3例,出血均<200mL;其余4例患者出血均>1000mL;保守治疗(氨甲喋呤注射或子宫动脉栓塞/注药)成功6例,子宫切除1例。结论:疤痕子宫妊娠常导致危及生命的出血,早期诊断、及时处理可减少出血;保守治疗对大部分病例安全有效,子宫动脉栓塞可作为首选治疗。
Objective: To describe the clinical characteristics, diagnosis and symptoms of cesarean scar pregnancy (CSP) and evaluate the effects of different treatments. Methods: 7 cases of CSP were retrospectively analyzed. The clinical symptoms, uhrasound image and different treatments were then evaluated. Results : All the 7 cases were diagnosed by transvaginal ultrasound. 3 of them were found before any treatment. The 3 early-diagnosed cases were associated with less haemorrhage ( 〈 200mL), while the other 4 suffered severe vaginal bleeding ( 〉 1000mL). All the cases were initially managed with conservative treatments including systemically methotrexate (MTX) injection or uterine artery embolization (UAE) with or without intra-arterial injection of MTX. 6 of them were successful, and hysterectomy was performed in 1 case at the patient's insistence. Conclusion: Caesarean scar pregnancy often results in life-threatening vaginal bleeding. Early diagnosis and management could minimize such complications. Conservative treatment may be successful in most cases, and UAE could be the first choice.
出处
《军医进修学院学报》
CAS
2009年第3期326-328,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
妊娠
异位
剖宫产术
子宫出血
超声检查
pregnancy, ectopic
cesarean section
uterine hemorrhage
ultrasonography