早孕期剖宫产瘢痕妊娠的临床病理特点及治疗分析

Analysis of Clinical Pathological Characteristics in Caesarean Scar Pregnancy and the Prognosis

目的通过对剖宫产瘢痕妊娠不同分型的病理学特点、临床特点进行分析,探讨治临床疗方法。方法整群收集2010年1月—2014年3月期间在该院住院的剖宫产瘢痕妊娠患者临床资料42例,其中内生型患者24例,外生型患者18例,分析其病理学特点,并比较患者术中、术后各项指标情况。结果剖宫产瘢痕妊娠患者其临床首发症状为阴道流血。经超声诊断为剖宫产瘢痕妊娠者37例,诊断的正确率达88.1%。借助于MRI检查可区分剖宫产瘢痕妊娠的不同临床分型。发生这种缝隙的外生型剖宫产瘢痕妊娠患者比例明显要高于内生型。结论内生型、外生型破宫产瘢痕妊娠具有不同的临床病理特点,根据MRI检的分型及临床表现,选择个体化的治疗方案。

Objective Analysis the different type of clinical and pathological characteristics of cesarean scar pregnancy, approach its the prognosis and treatment method. Methods Group selection clinical data of patients with cesarean scar pregnancy in our hospital was collected from January 2010 to March 2014 42 patients analyzed the pathological characteristic.Compare the 24 external-growth patients and 18 internal-growth patients intraoperative and postoperative indicators. Results Cesarean scar pregnancy in patients with first clinical symptoms was vaginal bleeding. There was 76 cases diagnosed by ultrosoung, and the accuracy rate was 88.1%。 MRI could define the different clinical types. The proportion of fissure in the external-growth type was higher then that of the internal-growth type. Conclusion The clinical and pathological characteristics was different between the external-growth and internal-growth type cesarean scar pregnancy.According to the MRI inspection classification and clinical manifestation,choice of individualized treatment plan.