剖宫产瘢痕部位妊娠的临床特征及治疗策略

发布时间：2018-06-15 18:07

本文选题：剖宫产瘢痕部位妊娠 + 早期妊娠并发症　；参考：《实用医学杂志》2017年14期

【摘要】：目的探讨剖宫产瘢痕部位妊娠(CSP)的临床特征及不同治疗方法和临床结局。方法选取2013年9月至2016年10月收治的96例剖宫产瘢痕部位妊娠的患者临床资料为研究对象。对患者临床特征、术中情况、术后血人绒毛膜促性腺激素(β-h CG)、术后阴道流血时间、住院时间、住院费用以及治疗方式等情况进行分析。结果分型是决定CSP行治疗方案的主要因素,其次是肿块大小和血β-h CG水平;行病灶切除可能对于妊娠物的清除更彻底。行子宫动脉栓塞术(UAE)组术中出血量与未行UAE组比较明显减少。子宫病灶切除者住院时间要短,清宫患者阴道流血时间相对比较长。结论阴道彩超和MRI对CSP的诊断有重要价值,在CSP治疗中应该根据分型、包块大小和β-h CG水平综合考虑选择最佳个体化治疗方案,早期诊断、早期治疗是降低CSP并发症的主要因素。
[Abstract]:Objective to investigate the clinical features, different treatment methods and clinical outcome of CSP in cesarean scar. Methods 96 cases of cesarean scar pregnancy from September 2013 to October 2016 were studied. The clinical features, intraoperative conditions, postoperative serum human chorionic gonadotropin (尾 -h CGG), postoperative vaginal bleeding time, hospital expenses and treatment methods were analyzed. Results the classification of CSP was the main factor, followed by the tumor size and serum 尾 -hCG level. The amount of intraoperative bleeding in uterine artery embolization group was significantly lower than that in untreated UAE group. Hysterectomy should be a short period of hospital stay, uterine bleeding patients with a relatively long time. Conclusion Vagina color Doppler ultrasound and MRI have important value in the diagnosis of CSP. In CSP treatment, we should choose the best individual treatment plan and early diagnosis according to the classification, mass size and 尾 -hCG level. Early treatment is the main factor to reduce the complications of CSP.
【作者单位】：贵州省人民医院妇科;
【基金】：贵州省科技厅基金(编号:黔科合字[2011]2267号) 贵阳市科技计划项目(编号:筑科合同[20141001]53号)
【分类号】：R714.22

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