摘要
目的探讨剖宫产切口瘢痕妊娠(CSP)的早期诊断、临床表现及治疗方法,为临床医生早期诊断、早期处理本病提供依据。方法对12例CSP患者的发病机制、临床表现、诊断方法及治疗方法进行回顾性分析。结果12例患者均有剖宫产史,经B超及彩色多普勒检查确诊。8例保守治疗成功,3例行子宫切口瘢痕病灶切除加修补术,1例子宫切除。结论B超及彩色多普勒是诊断CSP的主要手段,对判断预后和观察治疗效果有帮助;根据病灶大小、临床症状选择适当的治疗方案;在未明确诊断时切忌盲目清宫、引产等操作。
Objective To investigate cesarean section pregnancy about early diagnosis,clinical manifestation and therapies with a view to help clinicians to diagnose and deal with this disease in an early stage. Methods We have retrospectively analyzed the pathogenesis of patients,clinical manifestations,diagnosis and treatment in twelve CSP cases. Results The twelve patients all had history of cesarean section and can be diagnosed by type-B ultrasonic or color Doppler,eight cases of these patients who had received conservative treatment successfully,three cases of them who had did uterine incision scar excision and neoplasty,only one of them had did hysterectomia. Conclusion Type-B ultrasonic and color Doppler are the main means of CSP diagnosis and can be be of help to estimate prognosis, observation and therapeutic efficacy; according to the size of lesions and clinical symptoms, the choose the clinicians can select appropriate treatment plans for patients;but we should avoid dilatation and curettage,odynopoeia and other operation when the diagnosis is not clear.
出处
《中国现代医生》
2009年第26期145-146,148,共3页
China Modern Doctor
关键词
剖宫产
剖宫产切口瘢痕妊娠
甲氨蝶呤
子宫动脉栓塞术
Uterine-incision delivery
Cesarean section pregnancy
Methotrexate
Uterine artery embolization
