摘要
随着剖宫产率的不断上升 ,剖宫产瘢痕部位妊娠 (简称 CSP)作为剖宫产的远期并发症 ,逐渐引起重视 ,其危险性在于早期妊娠人工流产因并发胎盘绒毛植入而发生术中大出血或子宫破裂的可能性。 CSP可能是受精卵通过穿透剖宫产瘢痕处的微小裂隙着床而引起。通过 h CG检测、超声和 MRI检查 ,并结合临床表现 ,CSP的诊断并不困难 ,但CSP早期需要与早孕、早期流产、滋养叶细胞肿瘤及子宫颈妊娠等进行鉴别。常用治疗方法有药物治疗、动脉栓塞、病灶切除。早期诊断和及时治疗能减少子宫破裂、大出血的发生 ,有助于保留患者的生育功能。
As with cesarean delivery rate increasing, cesarean scars pregnancy(CSP) absorbs more and more attention as a late complication. Its major risk is early abortion,which can lead to massive hemorrhage and uterine rupture resulting from placenta increta. Diagnosis of CSP isn't difficult. A diagnosis can be made through hCG detection, sonography , MRI, and the clinical showing. Yet early pregnancy, early abortion, trophoblastic tumors and uterine neck pregnancy should be excluded. The therapy strategies include drug, arterial embolism and focal ectomy. Early diagnosis and timely therapy can decrease the incidence of uterine rupture and massive hemorrhage, and can be beneficial to rescuing the reproductive function of the CSP sufferers.
出处
《华夏医学》
2005年第1期138-140,共3页
Acta Medicinae Sinica
关键词
剖宫产瘢痕
异位妊娠
甲氨蝶呤
动脉栓塞
胎盘植入
cesaren scars
ectopic pregnancy
methotrexate
arterial embolism
placenta increta
