摘要
目的探讨剖宫产切口疤痕妊娠（cesarean scar pregnancy,CSP）的病因、诊断及治疗方法。方法回顾性分析2000年1月—2009年12月平顶山市妇幼保健院妇科收治的12例CSP患者的临床表现、诊断、治疗与结局。治疗方法主要包括保守性治疗、局部病灶切除术、全子宫切除术和宫腔镜治疗。结果 12例CSP患者的平均年龄31岁,发病距末次行剖宫产术时间为8个月~9年,平均5.1年。最常见的临床表现为停经和阴道流血,其中1例发生阴道大出血。有4例患者最初被外院误诊为宫内妊娠。结论 CSP临床较少见,易误诊,对有剖宫产术史的患者应尽早行阴道彩色多普勒超声检查。
Objective To explore the pathogenesis,early diagnosis and pertinent treatment of cesarean scar pregnancy（CSP）.Methods The clinical presentations,diagnoses,treatments and outcomes of twelve patients with CSP in Pingdingshan Women and Children Health Hospital from January 2000 to December 2009 were retrospectively analyzed.The therapies were mainly conservative treatment,surgical removal and repair of the part of cesarean scar,hysteroscopic therapy and hysterectomy.Results The average age of the patients was 31 years.The interval from the last cesarean delivery to diagnosis ranged from 8 months to 9 years,with an average interval of 5.1 years.The most common symptoms of CSP were amenorrhea and vaginal bleeding,with heavy vaginal bleeding in 1 patients.There were 4 patients who were misdiagnosed as early intrauterine pregnancy.The diagnosis was made through comprehensive analysis of data on cesarean delivery history,gynecologic examination,and transvaginal scan.All of the 12 patients got good recovery.Conclusion CSP is rare and usually misdiagnosed.The early diagnosis should be made for the patients with cesarean delivery history by vagina color Doppler ultrasonography,combination of gynecologic examination with laboratory detections.
出处
《医药论坛杂志》
2010年第11期44-45,共2页
Journal of Medical Forum
