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内镜在剖宫产瘢痕妊娠诊治中的应用 被引量:40

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摘要 近年来随着剖官产率的持续上升,经阴道超声诊断技术的普及和应用以及临床医生对剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)认识的提高,有关CSP诊治的临床报道逐渐增多,CSP占前次剖宫产史妇女中异位妊娠的6.1%左右。目前认为,CSP发生的解剖学基础与子宫下段切口愈合不良、内膜、肌层组织缺陷以及局部微环境的改变有关。受精卵着床的部位是在没有收缩功能的纤维结缔组织之中,一旦CSP流产或浸润穿透肌层组织,由于开放的血窦不易闭合,可能导致大出血、失血性休克、子宫破裂甚至丧失器官等并发症发生,严重者可能危及患者生命。因此,重视CSP的诊断与治疗,寻求微小创伤、保留生育功能与减少器官损伤的CSP治疗方式已经成为当今临床的趋势与必然。近年来,以官、腹腔镜为代表的内镜技术以其微创伤、直观、定位准确、融诊断与治疗为一体等优势,在CSP的诊疗中发挥着重要作用。
作者 段华 孙馥箐
出处 《实用妇产科杂志》 CAS CSCD 北大核心 2014年第4期249-252,共4页 Journal of Practical Obstetrics and Gynecology
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参考文献12

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二级参考文献26

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引证文献40

二级引证文献339

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