CSP保留生育功能治疗的探讨——附46例病例分析
发布时间：2018-10-29 19:59
【摘要】：探讨剖宫产子宫瘢痕妊娠(CSP)的保留生育功能治疗方法的选择。对2000—2014年第二军医大学附属长海医院收治的46例CSP患者临床资料进行回顾性分析。孕早期45例,孕中期1例,13例(28.9%)早孕患者早期误诊而行负压吸引术或药流+清宫术。其余32例,根据CSP临床分型标准,Ⅰ型19例,Ⅱ型13例,全部病例均成功保留子宫,63.1%Ⅰ型CSP采用B超监护下清宫,21.0%Ⅰ型CSP采用子宫动脉栓塞(UAE)+B超监护下清宫;84.6%Ⅱ型CSP采用病灶切除+疤痕修补。1例中孕16+周外院引产发生产后大出血,UAE 30天后下肢血栓坏死转我院治疗,期间再次阴道大出血,手术探查证实为CSP,行病灶切除+瘢痕修补术。CSP治疗原则是早期诊断,及早处理,根据CSP临床分型、β-HCG等情况,选择个体化治疗是关键。临床上对CSP要保持高度警惕,尽早诊断,保留生育功能治疗是完全可行的。此外,UAE后仍存在一定风险,选择UAE要谨慎。
[Abstract]:To explore the choice of (CSP) in cesarean scar pregnancy. The clinical data of 46 CSP patients treated in Changhai Hospital of the second military Medical University from 2000 to 2014 were retrospectively analyzed. There were 45 cases of early pregnancy, 1 case of second trimester and 13 cases (28.9%) of early pregnancy. The other 32 cases, according to CSP clinical classification standard, 19 cases of type 鈪，
本文编号：2298661
[Abstract]:To explore the choice of (CSP) in cesarean scar pregnancy. The clinical data of 46 CSP patients treated in Changhai Hospital of the second military Medical University from 2000 to 2014 were retrospectively analyzed. There were 45 cases of early pregnancy, 1 case of second trimester and 13 cases (28.9%) of early pregnancy. The other 32 cases, according to CSP clinical classification standard, 19 cases of type 鈪，
本文编号：2298661
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