剖宫产瘢痕妊娠17例的诊治分析

The treatment experience of 17 cases of cesarean scar pregnancy

目的探讨适宜剖宫产瘢痕妊娠(CSP)的治疗方案。方法回顾性分析该院17例CSP患者的临床特点。结果 17例患者均有停经史,10例患者均有停经后阴道流血史;3例在确诊前行人工流产,2例行药物流产,此5例患者均因术后阴道流血淋漓不净而入院治疗;5例入院诊断明确。本组17例全部治愈出院,住院时间平均(5.6±1.1)d。结论 CSP临床易误诊,对有剖宫产手术史的患者,应结合临床症状、体征和辅助检查作出早期诊断,根据患者实际情况予以不同的治疗方案。

Objective To explore the suitable treatment plan of cesarean scar pregnancy （CSP）.Methods Clinical features of 17 patients of CSP patients in our hospital were retrospectively analyzed .Results There were 17 patients with postmenopausal history , 10 patients with postmenopausal vaginal bleeding history , 3 patients received artificial abortion before diagnosis ,2 patients received drug abortion ,these 5 patients received hospitalization treatment because of postoperative vaginal bleeding , 5 patients were diagnosed .All of the 17 cases were cured ,the average dura-tion of hospitalization was （5.6 ＆#177;1.1 ） d.Conclusion CSP is easy to misdiagnosis in clinic , for patients with cesare-an section operation history ,it should be necessary to combine the symptoms with signs and auxiliary examination to make an early diagnosis , and treatment plan according to the actual situation of different patients .