剖宫产瘢痕部位妊娠的诊断及治疗分析

Diagnosis and Treatment of Cesarean Scar Pregnancy

目的探讨剖宫产瘢痕部位妊娠的临床表现、诊断、治疗和预后。方法回顾性分析本院2014年1月-2016年12月收治的37例剖宫产瘢痕部位妊娠患者的临床资料,按治疗方法分为三组:药物治疗联合超声监测下清宫术组(15例,A组),阴道病灶切除术组(15例,B组),宫腹腔镜联合手术组(7例,C组)。结果所有的患者在治疗期间均无严重并发症出现且全部治愈。结论阴道超声检查是早期诊断剖宫产瘢痕妊娠的最常用有效方法,临床工作中,可根据超声分型、病灶大小、血β-HCG水平等综合考虑,给予个体化治疗。在临床中均可取得满意的疗效。

Objective To investigate the clinical manifestations,cesarean scar pregnancy diagnosis,treatment and prognosis.Methods Retrospective analysis of clinical data of 37 cases of cesarean scar in our hospital during January 2014-2016 December pregnancy treated,according to treatment methods are divided into three groups:drug therapy combined with ultrasound monitoring curettage group(15 cases,group A),vaginal resection group(15 cases,group B),laparoscopy combined surgery group(7 cases,group C).Results All the patients during treatment were cured and no severe complications occurred.Conclusion Transvaginal ultrasound is most commonly used for early diagnosis of cesarean section the effective method of scar pregnancy,clinical work,according to the type of ultrasound,the size of the lesions,considering the blood level of 3-HCG,given the individualized treatment.Satisfactory results can be achieved in clinical.