摘要
目的:探讨早孕期剖宫产瘢痕妊娠的临床与病理特点。方法:收治剖宫产瘢痕妊娠患者24例,对其临床资料进行回顾性分析。结果:剖宫产瘢痕妊娠患者主要临床特征为阴道出血,内生型与外生型患者的临床特点差异存在统计学意义(P<0.05)。采用MRI检测可以对内生型与外生型患者进行明确区分。结论:内生型与外生型剖宫产瘢痕妊娠的临床症状与病理特点存在一定的差异性,而平滑肌肌层存在缝隙是剖宫产瘢痕妊娠的主要诱发因素。针对该病采用MRI检查,能够准确地对该病进行分型,并且需要借助病理组织学检查来确诊病情。
Objective:To investigate the clinical and pathological characteristics of cesarean scar pregnancy in early pregnancy.Methods:24 cases of cesarean scar pregnancy were selected,and the clinical data were retrospectively analyzed.Results:The main clinical characteristics of cesarean scar pregnancy were vaginal bleeding,and the clinical characteristics of endophytic and exogenic patients were significantly different(P<0.05).MRI can be used to distinguish endophytic and exogenetic patients.Conclusion:There are certain differences between the clinical symptoms and pathological features of the endogenetic and exogenous caesarean scar pregnancy,and the existence of the crevice in the smooth muscle layer is the main inducing factor of caesarean scar pregnancy.According to the MRI examination of the disease,we can accurately classify the disease,and we need the help of histopathological examination to diagnose the disease.
作者
田远征
Tian Yuanzheng(Yafeiya Maternity Hospital of Enshi City,Hubei Province 445000)
出处
《中国社区医师》
2018年第20期118-118,120,共2页
Chinese Community Doctors
关键词
早孕期
剖宫产
瘢痕妊娠
临床特点
病理分析
Early pregnancy
Cesarean section
Cicatricial pregnancy
Clinical characteristics
Pathological analysis
