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剖宫产术后子宫瘢痕部位妊娠诊断及治疗结果分析 被引量:17

Diagnosis and treatment analysis of cesarean scar pregnancy after cesarean section
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摘要 目的:分析剖宫产术后子宫疤痕处妊娠的发病原因,增强子宫疤痕处妊娠的预防及早期诊断积极治疗。方法:回顾分析2009~2012年收治的子宫疤痕处妊娠患者26例其发病原因、治疗、预后情况。结果:子宫疤痕处妊娠的发生率逐年上升,早期对此病诊断是处理剖宫产术后子宫疤痕处妊娠的重要环节。对于确诊为剖宫产术后子宫疤痕处妊娠的患者,行腹部B超引导下经阴道腰麻针于妊娠囊内注射甲氨蝶呤能够有效提高治愈。结论:剖宫产术后子宫疤痕处妊娠严重危害妇女的安全,B超是早期诊断疤痕处妊娠的有效手段。 Objective: To analyze the causes of cesarean scar pregnancy (CSP) after cesarean section, and improve the prevention, early diagnosis, and treatment of CSP. Methods: The causes, treatment, and prognosis of CSP in 26 patients treated in the hospital from 2009 to 2012 were analyzed retrospectively. Results: The incidence rate of CSP after cesarean section has been rising year by year. Early diagnosis is important to these patients, abdominal B - ultrasound guided transvaginal injection of methotrexate into gestation sac with spinal anesthesia can effectively improve the cure rate for CSP patients with definite diagnosis. Conclusion: CSP is harmful to women 's health. B - ultrasound is an effective way for early diagnosis of CSP.
作者 黄靖冰 刘娟
出处 《中国妇幼保健》 CAS 北大核心 2014年第6期869-871,共3页 Maternal and Child Health Care of China
关键词 子宫疤痕部位妊娠 早期诊断 预防 Cesarean scar pregnancy Early diagnosis Prevention
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