摘要
目的：探讨瘢痕妊娠的诊断及治疗。方法：对上海市第一妇婴保健院2003年～2007年收治的43例瘢痕妊娠患者进行回顾性分析，并对不同的治疗方法进行比较。结果：43例患者均通过超声明确诊断，2例行全子宫切除术，1例行次全子宫切除术，其余患者均保守治疗成功。方法包括25例患者使用甲氨喋呤（MTX）与经阴道超声孕囊穿刺术相结合治疗，18例患者使用MTX与介入治疗相结合。结论：超声可以在孕早期明确诊断，早期诊断及治疗可以获得满意的治疗效果。
Objective： To explore the diagnosis and treatment of cesarean scar pregnancy. Methods： 43 cases with cesarean scar pregnancy from 2003 to 2007 were analyzed retrospectively, and different treatments were compared. Results： All the 43 cases were diagnosed by sonography, 2 eases underwent total hysterectomy and 1 case underwent subtotal hysterectomy, the other cases received conservative treatment. 25 cases were treated by methotrexate combined with gestational sac puncture under transvaginal ultrasound guidance, while 18 cases were treated by methotrexate combined with i nterventional techniques. Conclusion： Sonography is a useful tool for early diagnosis, early diagnosis and treatment can get satisfactory results.
出处
《中国妇幼保健》
CAS
北大核心
2009年第23期3216-3218,共3页
Maternal and Child Health Care of China
关键词
剖宫产术
瘢痕妊娠
超声
MTX
孕囊穿刺术
Cesarean section
Cesarean scar pregnancy
Ultrasound
Methotrexate
Gestational sac puncture
