摘要
剖宫产瘢痕妊娠是指妊娠囊于子宫瘢痕处种植的特殊妊娠类型,现有流行病学数据表明其发病率较低,但常合并胎盘植入、子宫破裂、失血性休克等严重并发症。对疾病的诊断与处理大多数医生缺乏经验和循证医学证据。目前彩色多普勒超声检查和磁共振成像检查是在疾病早期诊断的主要手段,根据不同分型应提供个体化诊疗方案。了解疾病的发病情况,掌握相关诊断与治疗方法及其适应证,方能最大限度减少患者治疗风险,获得良好预后并保存生育力。同时提倡努力避免无指征剖宫产、降低剖宫产率,减少剖宫产瘢痕妊娠的发生。
Cesarean scar pregnancy(CSP)refers to a gestational sac implanting at the site of a previous hysterotomy scar.Though the very few epidemiological studies showed a low incidence,it may lead to life threatening complications like placenta accrete,uterine rupture and hemorrhagic shock.Many doctors lack experience and evidence about the diagnosis and management.Color doppler ultrasonography and magnetic resonance imagingare are major tools to make a diagnose in the early stage.Individualized treatment should be managed depending on the different type.Understand the epidemiology of the disease,master the different indications of relevant diagnosis and treatment methods,can make we minimize the patient's risk,achieve a favorable prognosisand preserve fertility.Special efforts are supposed to make on avoiding unindicated cesarean section(CS)delivery and lowering down the rate of CS to reduce the occurrence of CSP.
作者
王超
李蓉
乔杰
刘平
Wang Chao;Li Rong;Qiao Jie;Liu Ping(Center for Reproductive Medicine,Department of Obstetrics and Gynecology,Peking University Third Hospital,Beijing 100191,China)
出处
《中华生殖与避孕杂志》
CAS
CSCD
北大核心
2020年第2期161-165,共5页
Chinese Journal of Reproduction and Contraception
基金
国家重点研发计划(2018YFC1002100)。
关键词
剖宫产瘢痕妊娠
流行病学
彩色多普勒超声
期待治疗
Cesarean scar pregnancy
Epidemiology
Color Doppler ultrasonography
Expectant management
