摘要
剖宫产术后子宫切口瘢痕妊娠(CSP)是剖宫产术后远期潜在的严重并发症,可造成子宫破裂及无法控制的阴道大出血的风险,甚至孕产妇死亡或者需要切除子宫来挽救生命。若早期诊断、及时处理,能有效地减少并发症的发生,保留生育能力。阴道超声检查是目前最常用且可靠的诊断方法,血人绒毛膜促性腺激素、宫腹腔镜、膀胱镜及磁共振成像检查可用于辅助诊断。目前常用的治疗方法有药物保守治疗、清宫术、子宫动脉栓塞术、腹式手术、宫腔镜手术、腹腔镜手术等综合治疗。
Caesarean section scar pregnancy is the forward potential serious complication after cesarean section.It can cause the risk of uterine rupture and the non-control bleeding and even lead to the maternal deaths or through to cut off the uterus to save the life.Early diagnosis and prompt treatment can effective reduces the complications and to retain the ability of having children.vaginal ultrasound is the most common and dependable in its diagnosis and the blood HCG,hysteroscope,laparoscope,cystoscope and MRI test may assist in the diagnosis.The main way to treatment includes conservative medicine,evacuation,uterine artery embolization,abdominal type of operation,hysteroscopy surgery,laparoscopy surgery or the comprehensive therapy.
出处
《医学综述》
2012年第9期1346-1349,共4页
Medical Recapitulate
关键词
剖宫产
切口瘢痕妊娠
诊断
治疗
Caesarean section
Uterine scar pregnancy
Diagnosis
Treatment
