剖宫产瘢痕部位妊娠的治疗策略

Therapeutic strategies for cesarean section scar pregnancy

剖宫产瘢痕部位妊娠(cesarean scars pregnancy,CSP)是指受精卵着床于剖宫产瘢痕部位,早期诊断不明确或治疗不当可引起患者阴道大量出血、子宫破裂、失血性休克甚至危及性命等。目前临床中常用的治疗方法有:药物治疗、手术治疗或两者联合治疗。不同医院对于CSP的治疗方式差别很大,且临床上对于各种治疗方式的临床效果比较尚无明确定论。

Cesarean scar pregnancy (CSP) refers to the implantation of fertilized eggs on scar sites of cesarean section. Unclear early diagnosis or improper treatment can lead to massive vaginal bleeding, uterine rupture, hemorrhagic shock and even life threatening. At present, the commonly used clinical treatment methods are drug therapy, surgical therapy or both. Different hospitals have different treatment methods for CSP, and there is no clear conclusion on their clinical effect.