摘要
目的:探讨剖宫产瘢痕部位妊娠的临床特点。方法:回顾性分析收治38例剖宫产瘢痕部位妊娠的临床资料,分析其形成原因与诊断、处理方法。结果:38例剖宫产瘢痕部位妊娠患者的早期症状无特异性,均伴有停经后阴道出血。术前诊断28.95%,彩色多普勒是此病诊断的有力手段。结论:临床上一旦确诊为剖宫产瘢痕部位妊娠后,需迅速采取措施,终止妊娠,可根据患者的情况选择采取保守治疗或手术治疗,控制出血、清除病灶、杀灭胚胎,保留患者的生育能力。
Objective:To investigate the clinical features of cesarean scar pregnancy.Methods:A retrospective analysis of the clinical data of 38 cases of cesarean scar pregnancy,analysis of its causes and diagnosis,treatment method.Results:No specific early symptoms in 38 cases of patients with cesarean scar pregnancy,were associated with postmenopausal vaginal bleeding. Preoperative diagnosis was 28.95%,color Doppler is a powerful tool for disease diagnosis.Conclusion:Once the clinical diagnosis of cesarean scar pregnancy,need to take prompt measures,termination of pregnancy,can choose to take the conservative treatment or operation treatment according to the conditions of the patients,control of hemorrhage,debridement,kill the embryo,keep the patient's fertility.
关键词
剖宫产
子宫切口
瘢痕
妊娠
Cesarean
Uterine incision
Scar
Pregnancy
