摘要
目的探讨剖宫产术后子宫瘢痕妊娠的早期诊断和治疗方法。方法对6例子宫瘢痕妊娠患者的临床资料进行回顾性分析。结果 4例患者经B超检查直接确诊,2例患者B超检查后误诊为稽留流产行药物流产,因未见妊娠物排出行清宫术发生阴道大量出血,再次行B超检查确诊。4例行子宫动脉栓塞加子宫动脉灌注甲氨蝶呤(MTX),2例行MTX肌肉注射配伍米非司酮及中药方剂治疗。6例患者均保守治疗成功。结论超声检查是剖宫产术后子宫瘢痕处妊娠诊断的主要方法;子宫动脉栓塞加灌注MTX化疗后B超监视下清宫术安全有效。
Objective To explore the early diagnosis and pertinent treatment of cesarean scar pregnancy（CSP）.Methods The clinical data of 6 patients with CSP were analyzed retrospectively.Results Four patients were clearly diagnosed by colored B-ultrasonography.Two were misdiagnosed as having missed abortion and then given medical abortion.The heavy vaginal bleeding was induced by curettage operation because that no regnancy bursa was found in the discharge.And finally the diagnosis was confirmed by B-ultrasonography for the second time.Among them,four patients were treated by uterine artery embolization（UAE） in combination with methotrexate（MTX）.Two were treated with intramuscular MTX in combination with oral Mifepristone and traditional Chinese medicine.All the 6 patients were successful with conservative therapy.Conclusion Color B-ultrasound is the main method in diagnosis of CSP.Curettage with the help of ultrasonography after UAE in combination with MTX is a optional safe and effective treatment.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第24期2743-2745,共3页
Chinese General Practice
关键词
剖宫产术
子宫瘢痕
妊娠
异位
Cesarean section
Uterus scar
Pregnancy
ectopic
