發(fā)布時(shí)間：2018-10-29 19:59

【摘要】：探討剖宮產(chǎn)子宮瘢痕妊娠(CSP)的保留生育功能治療方法的選擇。對(duì)2000—2014年第二軍醫(yī)大學(xué)附屬長(zhǎng)海醫(yī)院收治的46例CSP患者臨床資料進(jìn)行回顧性分析。孕早期45例,孕中期1例,13例(28.9%)早孕患者早期誤診而行負(fù)壓吸引術(shù)或藥流+清宮術(shù)。其余32例,根據(jù)CSP臨床分型標(biāo)準(zhǔn),Ⅰ型19例,Ⅱ型13例,全部病例均成功保留子宮,63.1%Ⅰ型CSP采用B超監(jiān)護(hù)下清宮,21.0%Ⅰ型CSP采用子宮動(dòng)脈栓塞(UAE)+B超監(jiān)護(hù)下清宮;84.6%Ⅱ型CSP采用病灶切除+疤痕修補(bǔ)。1例中孕16+周外院引產(chǎn)發(fā)生產(chǎn)后大出血,UAE 30天后下肢血栓壞死轉(zhuǎn)我院治療,期間再次陰道大出血,手術(shù)探查證實(shí)為CSP,行病灶切除+瘢痕修補(bǔ)術(shù)。CSP治療原則是早期診斷,及早處理,根據(jù)CSP臨床分型、β-HCG等情況,選擇個(gè)體化治療是關(guān)鍵。臨床上對(duì)CSP要保持高度警惕,盡早診斷,保留生育功能治療是完全可行的。此外,UAE后仍存在一定風(fēng)險(xiǎn),選擇UAE要謹(jǐn)慎。
[Abstract]:To explore the choice of (CSP) in cesarean scar pregnancy. The clinical data of 46 CSP patients treated in Changhai Hospital of the second military Medical University from 2000 to 2014 were retrospectively analyzed. There were 45 cases of early pregnancy, 1 case of second trimester and 13 cases (28.9%) of early pregnancy. The other 32 cases, according to CSP clinical classification standard, 19 cases of type 鈪，

本文編號(hào)：2298661