子宫下段剖宫产切口妊娠临床诊断及其治疗策略的选择

Clinical diagnosis and treatment strategies of lower uterine segment caesarean scar pregnancy

目的 探讨子宫下段剖宫产切口妊娠的表现特点、诊断标准和治疗策略.方法 随机选取子宫下段剖宫产切口妊娠患者30例,回顾性分析其临床病史资料,分析该病的发病特点、诊断标准和治疗策略.结果 子宫下段剖宫产切口妊娠在临床上的发病率为1.42％,临床上患者多表现出停经以及程度不同的阴道出血症状,同时伴随有β-HCG水平的明显升高.临床上子宫下段剖宫产切口妊娠的治疗方法主要为双侧髂内动脉结扎并子宫切口妊娠病灶切除手术.结论 子宫下段剖宫产切口妊娠发病率较高,且会对导致剖宫产产后大出血,因此临床治疗应结合该病的临床特点,选择科学的治疗方案.

Objective To investigate the performance characteristics,diagnostic criteria and treatment strategies on pregnancy at incision of cesarean section in lower uterine segment.Methods Thirty patients with the lower uterine segment caesarean scar pregnancy were randomly selected,ana the patient＇s chnical characteristics,diagnostic criteria and treatment strategies were retrospectively analyzed.Results The incidence of the disease was 1.42‰,most patients showed menopause and varying degrees of vaginal bleeding with β-HCG levels significantly increasing.The main treatment was the internal iliac artery ligation with excision of pregnancy uterine incision surgery.Conclusions This disease has higher incidence of pregnancy and will lead to postpartum hemorrhage,so the clinical treatment combined with the clinical features is necessary.