摘要
目的探讨剖宫产疤痕部位妊娠的临床特点和治疗方法。方法回顾性分析2002年1月￣2005年12月该院收治的12例剖宫产疤痕部位妊娠病人的临床资料。结果12例病人均有停经后阴道流血史。9例在未明确诊断前行人工流产,2例行药物流产,此11例患者均因术后阴道流血淋漓不净行清宫术。12例中仅5例入院诊断明确。12例均做了盆腔彩超检查,仅3例彩超诊断考虑为胎盘绒毛切口植入。5例行子宫疤痕妊娠病灶清除术,3例行子宫全切术,4例予氨甲喋呤(MTX)和米非司酮保守治疗。结论剖宫产疤痕部位妊娠的早期诊断水平有待提高,而早期诊断和及时治疗能减少大出血的发生,有利于保留患者生育功能。
[Objective] To investigate the characteristics and treatment of pregnancy in cesarean section scar. [Methods] Twelve patients with pregnancy in cesarean section scar were analyzed retrospectively from Jan 2002 to Dec 2005. [Results] All of the twelve patients had vaginal bleeding after menorrhea. Nine patients had received artificial abortion and two patients received medicine abortion before clear diagnosis. The eleven patients all had dilatation and curettage because of continuous bleeding after abortion. Only five patients had clear diagnoses. All of the patients received colored B-ultrasound. Among them only three patients were diagnosised placenta increta. Five patients were treated by focal ectomy on uterine incision, three patients underwent hysterectomy, four patients received treatment of methotrexate and mifepristone. [Conclusion] It is necessary to enhance the early diagnosis level of pregnancy in cesarean section scar. Early diagnosis and timely therapy can decease the incidence of massive hemorrhage and can be beneficial to rescuing the reproductive function of the suffers.
出处
《中国医学工程》
2006年第3期288-290,共3页
China Medical Engineering
关键词
剖宫产术
子宫切口
疤痕
妊娠
cesarean section
uterine incision
scar
pregnancy
