本文選題：剖宮產(chǎn)瘢痕部位妊娠 + 早期妊娠并發(fā)癥��； 參考：《實(shí)用醫(yī)學(xué)雜志》2017年14期

【摘要】：目的探討剖宮產(chǎn)瘢痕部位妊娠(CSP)的臨床特征及不同治療方法和臨床結(jié)局。方法選取2013年9月至2016年10月收治的96例剖宮產(chǎn)瘢痕部位妊娠的患者臨床資料為研究對(duì)象。對(duì)患者臨床特征、術(shù)中情況、術(shù)后血人絨毛膜促性腺激素(β-h CG)、術(shù)后陰道流血時(shí)間、住院時(shí)間、住院費(fèi)用以及治療方式等情況進(jìn)行分析。結(jié)果分型是決定CSP行治療方案的主要因素,其次是腫塊大小和血β-h CG水平;行病灶切除可能對(duì)于妊娠物的清除更徹底。行子宮動(dòng)脈栓塞術(shù)(UAE)組術(shù)中出血量與未行UAE組比較明顯減少。子宮病灶切除者住院時(shí)間要短,清宮患者陰道流血時(shí)間相對(duì)比較長。結(jié)論陰道彩超和MRI對(duì)CSP的診斷有重要價(jià)值,在CSP治療中應(yīng)該根據(jù)分型、包塊大小和β-h CG水平綜合考慮選擇最佳個(gè)體化治療方案,早期診斷、早期治療是降低CSP并發(fā)癥的主要因素。
[Abstract]:Objective to investigate the clinical features, different treatment methods and clinical outcome of CSP in cesarean scar. Methods 96 cases of cesarean scar pregnancy from September 2013 to October 2016 were studied. The clinical features, intraoperative conditions, postoperative serum human chorionic gonadotropin (尾 -h CGG), postoperative vaginal bleeding time, hospital expenses and treatment methods were analyzed. Results the classification of CSP was the main factor, followed by the tumor size and serum 尾 -hCG level. The amount of intraoperative bleeding in uterine artery embolization group was significantly lower than that in untreated UAE group. Hysterectomy should be a short period of hospital stay, uterine bleeding patients with a relatively long time. Conclusion Vagina color Doppler ultrasound and MRI have important value in the diagnosis of CSP. In CSP treatment, we should choose the best individual treatment plan and early diagnosis according to the classification, mass size and 尾 -hCG level. Early treatment is the main factor to reduce the complications of CSP.
【作者單位】： 貴州省人民醫(yī)院婦科;
【基金】：貴州省科技廳基金(編號(hào):黔科合字[2011]2267號(hào)) 貴陽市科技計(jì)劃項(xiàng)目(編號(hào):筑科合同[20141001]53號(hào))
【分類號(hào)】：R714.22

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 林春麗;廖湘玲;聶嵐;陳曉翠;;剖宮產(chǎn)瘢痕部位妊娠的四種治療方法的臨床效果[J];南方醫(yī)科大學(xué)學(xué)報(bào);2015年12期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王s，

本文編號(hào)：2023003