持续性剖宫产瘢痕妊娠的诊断与治疗被引量：2

Diagnosis and Treatment of Cesarean Scar Pregnancy

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摘要目的研究持续性剖宫产瘢痕妊娠(PCSP)的临床表现、诊断及其处理方式。方法回顾性分析16例PCSP患者的临床特点、初次治疗失败原因、再次治疗前评估、治疗方式的选择及治疗效果。结果6例Ⅰ型患者中,4例经Foley球囊压迫止血后在超声引导下行清宫术,其余2例Ⅰ型和2例Ⅱ型患者经子宫动脉栓塞后行超声引导下行清宫术;3例Ⅱ型和5例Ⅲ型者均行瘢痕切除加子宫下段修补术。结论治疗前全面评估病情指标选择个性化治疗方案是有效避免PCSP的可行性方法。 Objective To study the clinical manifestations, diagnosis and treatment of continuous cesarean scar pregnancy （PCSP）. Methods Retrospective analysis of 16 cases of PCSP clinical characteristics, the causes of initial treatment failure, re-evaluation before treatment, treatment options and treatment results. Results Of the 6 patients with type Ⅰ , 4 underwent uterine curettage under ultrasound guidance after Foley balloon hemostasis, the remaining 2 patients with type Ⅰ and 2 patients with type Ⅱ underwent uterine artery embolization under ultrasound guidance; 3 patients with typeⅡand 5 patients with type III underwent scar resection plus hysteroplasty. Conclusion Preoperative individual assessment is effective method to avoid PCSP

作者李萍何国英刘洪珍 LI Ping;HE Guoying;LIU Hongzhen(Department of Obstetrics,The Affliated Hospital of Taishan Medical University,Taian Shandong 271000,China)

机构地区泰山医学院附属医院产科

出处《中国继续医学教育》 2018年第33期94-96,共3页 China Continuing Medical Education

关键词剖宫产瘢痕妊娠异位妊娠持续性保守性治疗治疗前评估个性化治疗 cesarean scar pregnancy ectopic pregnancy persistent cesarean scar pregnancy conservative treatment pretreatment evaluation personalized treatment

分类号 R714 [医药卫生—妇产科学]

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1刘玉洁,宗利丽.剖宫产后子宫瘢痕妊娠的研究现状[J].国际妇产科学杂志,2016,43(1):99-102. 被引量：34
2殷丽丽,杨清.剖宫产瘢痕妊娠研究进展[J].中国实用妇科与产科杂志,2015,31(4):361-365. 被引量：73

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