中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
1期
29-30
,共2页
剖宫产术%瘢痕%妊娠%甲氨蝶呤%超声检查
剖宮產術%瘢痕%妊娠%甲氨蝶呤%超聲檢查
부궁산술%반흔%임신%갑안접령%초성검사
Cesarean%Scar%Pregnancy%Methotrexate%Sonography
目的 总结和探讨剖宫产后瘢痕处妊娠的发生、临床特点和处理方法.方法 对33例剖宫产后瘢痕处妊娠患者的资料进行回顾性分析.结果 10例刮宫术后阴道大量出血,9例行急诊子宫次全切除,1例加用甲氨蝶呤化疗治疗成功,13例用药物化疗后再行清宫术,保守治疗成功,10例行子宫病灶切除并修补子宫,保留子宫成功.结论 阴道B超是诊断剖宫产后瘢痕部位妊娠的重要手段,根据阴道B超分级诊断、选择合适的个体治疗方案是成功治疗的关键.
目的 總結和探討剖宮產後瘢痕處妊娠的髮生、臨床特點和處理方法.方法 對33例剖宮產後瘢痕處妊娠患者的資料進行迴顧性分析.結果 10例颳宮術後陰道大量齣血,9例行急診子宮次全切除,1例加用甲氨蝶呤化療治療成功,13例用藥物化療後再行清宮術,保守治療成功,10例行子宮病竈切除併脩補子宮,保留子宮成功.結論 陰道B超是診斷剖宮產後瘢痕部位妊娠的重要手段,根據陰道B超分級診斷、選擇閤適的箇體治療方案是成功治療的關鍵.
목적 총결화탐토부궁산후반흔처임신적발생、림상특점화처리방법.방법 대33례부궁산후반흔처임신환자적자료진행회고성분석.결과 10례괄궁술후음도대량출혈,9례행급진자궁차전절제,1례가용갑안접령화료치료성공,13례용약물화료후재행청궁술,보수치료성공,10례행자궁병조절제병수보자궁,보류자궁성공.결론 음도B초시진단부궁산후반흔부위임신적중요수단,근거음도B초분급진단、선택합괄적개체치료방안시성공치료적관건.
Objective To summarize and investigate the occurrence,clinical features and treatment of cesarean scar pregnancy.Methods 33 cases of cesarean scar pregnancy were retrospectively analyzed.Results 10 cases of vaginal massive hemorrhage after uterine curettage,9 cases of subtotal hysterectomy,1 case was cured by MTX treatment,13 cases were cured by conservative treatment of uterine curettage after chemotherapy treatment,10 cases of successful uterus-saving by excision of lesion and uterine repair.Conclusion Transvaginal sonography was an important method in diagnosis of cesarean scar pregnancy and,the key to success was to select the appropriate individual treatment according to classification by transvaginal sonography.
