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剖宫产瘢痕妊娠不同分型的治疗选择 被引量:6

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摘要 目的探讨剖宫产瘢痕妊娠(cesarean scar pregnancy,CSP)的治疗方式的选择。方法回顾性分析2012年1月-2015年12月我院经阴道彩超检查符合CSP诊断标准的42例患者,平均年龄27.6±4.3岁(21-35岁),孕2-9次,均为子宫下段剖宫产术后。根据彩超分为内生型和外生型,其中:内生型20例,均行药物治疗辅以超声引导下清宫术;外生型22例,行腹腔镜治疗10例,经阴式手术治疗12例。结果内生型成功率为90%(18/20),两例中转开腹妊娠病灶切除术;外生型成功率为86.4%(19/22),其中腹腔镜手术成功率90%(9/10),经阴式手术成功率83%(10/12),分别有两和一例转开腹行妊娠病灶切除术。结论CSP的治疗重要的是早期发现,及时诊断,根据术前精准的分型制定个体化治疗方案。
作者 陈敏
出处 《江西医药》 CAS 2016年第5期440-442,共3页 Jiangxi Medical Journal
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参考文献9

  • 1Timor-Tritsch IE,Monteagudo A. Unforeseen Consequences of the Increasing Rate of Cesarean Deliveries : Early Placenta Accreta and Cesarean Scar Pregnancy :A Review [J]. Am J Obstet GyrLecol, 2012,207(1) : 14-29.
  • 2曹莉莉,王延洲,李宇迪,王颖楠,徐惠成.腹腔镜对剖宫产瘢痕妊娠的诊治价值[J].中国微创外科杂志,2014,14(4):293-296. 被引量:21
  • 3王玉梅,秦小霞.26例子宫瘢痕妊娠诊治分析[J].江西医药,2014,49(12):1482-1483. 被引量:9
  • 4Vial Y,Petignat P,Hohlfeld P. Pregnancy in a cesarean scar[J]. Ultrasound in Obstetrics & Gynecology,2000,16(6):592-593.
  • 5王丽娟,钟云,金月凤,陈美红.经阴道径路处理剖宫产瘢痕妊娠病灶的临床应用[J].江西医药,2015,50(11):1255-1256. 被引量:5
  • 6Cok T,Kalayci H,Ozdemir H,et al. Transvaginal ultrasound- guided local methotrexate administration as the first-line treatment for cesarean scar pregnancy:Follow-up of 18 cases[J]. J Obstetrics & Gynaecology Research, 2015,41(5) : 803-808.
  • 7向阳.关于剖宫产瘢痕妊娠的分型与治疗方法的选择[J].中国妇产科临床杂志,2012,13(6):401-404. 被引量:151
  • 8ILi JB,Kong LZ,Fan L,et al. Transvaginal surgical management of cesarean Scar pregnancy:analysis of 49 cases from one tertiary care center[J]. European J Obstetrics & Gynecology & Reproducti- ve Biology,2014,182(182C) : 102-106.
  • 9Wang GW,Liu XF,Bi FF,et al. EvalUation of the efficacy of laparoscopic resection for the management of exogenous cesarean scar pregnancy[J]. Fertility & Sterility, 2014,101(5): 1501-1507.'.

二级参考文献38

  • 1金力,范光升,郎景和.剖宫产术后瘢痕妊娠的早期诊断与治疗[J].生殖与避孕,2005,25(10):630-634. 被引量:243
  • 2任彤,赵峻,万希润,刘欣燕,冯凤芝,向阳.剖宫产瘢痕妊娠的诊断及处理[J].现代妇产科进展,2007,16(6):433-436. 被引量:170
  • 3Jurkovic D, Hillaby K, Woelfer B, et al. First- trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar. Ultrasound Ob- stet Gynecol, 2003, 21: 220-227.
  • 4Scow KM, Huang LW, Lin YH, et al. Caesarean sear pregnancy: issues in management. Ultrasound Obstet Gyne- col, 2004, 23: 247-253.
  • 5Litwicka K, Greco E. Caesarean scar pregnancy: a review of management options. Curr Opin Obstet Gynecol, 2011, 23: 415 - 421.
  • 6Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management. Obstet Gynecol, 2006, 107.. 1373- 1377.
  • 7Shih JC. Cesarean scar pregnancy: diagnosis with three - di- mensional (aD) ultrasound and aD power Doppler. Ultra- sound Obstet Gynecol, 2004, 23:306 - 307.
  • 8Fylstra DLo Ectopic pregnancy within a cesarean scar: a re- view. Obstet Gynecol Surv, 2002, 57.. 537-543.
  • 9Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG, 2007, 114.. 253-263.
  • 10Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol, 2000, 16:592 - 593.

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