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剖宫产子宫疤痕妊娠临床诊治分析 被引量:4

Analysis of clinical diagnosis and treatment of caesarean scar pregnancy
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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
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  • 1Jurkovic D,Hillaby K,Woelfer B,et al.First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Caesarian section scar[J].Ultrasound Obstet Gynecol,2003,21 (3):220-227.
  • 2Maymon R,Halperin R,Mendlovic S,et al.Ectopic pregnancies in Caesarean section scars:the 8 year experience of one medical centre[J].Hum Reprod,2004,19(2):278-284.
  • 3Armstrong V,Hansen WF,Van Voorhis B J,et al.Detection of caesarian scars by transvaginal ultrasound[J].Obstet Gynecol,2003,101(1):61-65.
  • 4Vial Y,Petignat P,Hohlfeld P.Pregnancy in a caesarian scar[J].Ultrasound Obstet Gynecol,2000,16(6):592-593.
  • 5Ghezzi F,Lagana D,Franchi M,et al.Gonservative treatment by chemotherapy and uterine arteries embolization of a Caesarian scar pregnancy[J].Eur J Obstet Gynecol Repred Biol,2002,103:88-91.

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