剖宫产瘢痕妊娠5例诊治分析

Analysis of the diagnosis and treatment on 8 cases of cesarean section scar pregnancy

目的探讨剖宫产瘢痕妊娠(CSP)的诊断和合理有效的治疗方法。方法回顾性分析该院2005—2011年间5例CSP患者的临床资料。结果 5例CSP患者的结局为:4例患者保守治疗成功;1例因误诊为难免流产行清宫术出现难以控制的大出血再行子宫切除术而保住生命。结论剖宫产瘢痕妊娠是少而危险的异位妊娠,早期诊断极为重要,术前应做好抢救准备,需根据患者的病情,选择合适的治疗手段。

Objective To investigate the diagnosis andreasonab and effective treatment on cesarean scars pregnancy（CSP）.Methods Retrospective analysis was made on the clinical data of five CSP patients admined into our hospital from 2005 to 2011.Results The result of the 5 CSP patients：the conservative treatment were successful in 4 early pregnancy patients,1 patient hysterectomy and save lives.Conclusion The cesarean section scar pregnancy is a rare and dangerous ectopic pregnancy,the diagnosis and the treatment shoud be made by taking into consideration a combination of factors including symptoms,signs,and laboratory test results.