摘要
目的:探讨剖宫产术后子宫瘢痕处妊娠的临床特点及治疗方法。方法回顾性分析2000年10月~2013年10月我院15例剖宫产术后子宫瘢痕处妊娠患者的临床资料。结果本组后期术前确诊11例中用药物治疗加清宫术10例,药物治疗加介入方法选择性子宫动脉栓塞后清宫术1例,均治疗成功。4例因误诊出现大出血,剖腹探查术后发现子宫下段前壁瘢痕妊娠而行子宫切除术。结论剖宫产子宫瘢痕妊娠治疗关键是早期诊断,及早处理一旦确诊须立即住院,尽早终止妊娠是治疗成功的关键。
Objective:To investigate the clinical characteristics and treatment of uterine scar pregnancy after cesarean section.Methods:a retrospective analysis of 2000 10 to 2013 October in our hospital 15 cases of patients with uterine scar pregnancy after cesarean section clinical data.Results:in this group,the later the preoperative diagnosis in 11 cases with drug therapy combined with curet age in 10 cases,uterine curet age plus drug treatment of selective uterine arterial embolization interventional method 1 cases were treated successful y.4 cases were misdiagnosed and bleeding,exploratory laparotomy and found the lower uterine segment anterior scar pregnancy womb excision method.Conclusion:the key of treatment of cesarean uterine scar pregnancy is early diagnosis,early treatment once the diagnosis should be hospitalized immediately,early termination of pregnancy is the key to successful treatment.
作者
李冬梅
肖丽
LI Dong-mei;XIAO Li(Altay City People's Hospital Obstetrics and Gynecology Department,Altay Xinjiang836500;People's Hospital of Xinjiang Altay City,AltayXinjiang836500,China)
关键词
剖宫产子宫瘢痕妊娠
临床特点
Cesarean uterine scar pregnancy
Clinical characteristics
