中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
9期
126-126,127
,共2页
剖宫产切口瘢痕妊娠%经阴道彩超%甲氨蝶呤
剖宮產切口瘢痕妊娠%經陰道綵超%甲氨蝶呤
부궁산절구반흔임신%경음도채초%갑안접령
Cesarean scar pregnancy%Transvaginal color ultrasonography%Methotrexate
目的：研究剖宫产切口瘢痕妊娠诊断及治疗方法，为早期诊断及治疗提供依据。方法回顾性分析77例剖宫产切口瘢痕妊娠患者病史、诊断及治疗方法。结果77例均经阴道彩超确诊；72例甲氨蝶呤妊娠囊内或宫颈注射后行宫腔镜或腹腔镜子宫切口妊娠物切除，5例行清宫术。结论剖宫产切口瘢痕妊娠经阴道彩色超声可协助诊断，甲氨蝶呤注射后宫腔镜或腹腔镜子宫切口妊娠物切除是治疗的有效方法。
目的：研究剖宮產切口瘢痕妊娠診斷及治療方法，為早期診斷及治療提供依據。方法迴顧性分析77例剖宮產切口瘢痕妊娠患者病史、診斷及治療方法。結果77例均經陰道綵超確診；72例甲氨蝶呤妊娠囊內或宮頸註射後行宮腔鏡或腹腔鏡子宮切口妊娠物切除，5例行清宮術。結論剖宮產切口瘢痕妊娠經陰道綵色超聲可協助診斷，甲氨蝶呤註射後宮腔鏡或腹腔鏡子宮切口妊娠物切除是治療的有效方法。
목적：연구부궁산절구반흔임신진단급치료방법，위조기진단급치료제공의거。방법회고성분석77례부궁산절구반흔임신환자병사、진단급치료방법。결과77례균경음도채초학진；72례갑안접령임신낭내혹궁경주사후행궁강경혹복강경자궁절구임신물절제，5례행청궁술。결론부궁산절구반흔임신경음도채색초성가협조진단，갑안접령주사후궁강경혹복강경자궁절구임신물절제시치료적유효방법。
Objective To study the diagnosis and treatment of cesarean scar pregnancy, and to provide a guideline for early diagnosis and treatment. Methods We retrospectively analyzed the medical history, diagnoses and treatments about 77 cases who were diagnosed with cesarean scar pregnancy. Results 77 cases got diagnosed by transvaginal color ultrasonography; Among al the patients, 72 cases were offered methotrexate injection in the gestational sac or cervical prior to hysteroscopic or laparoscopic uterine incision pregnancy resection, Another 5 cases were proceeded uterine suction curettage. Conclusion For cesarean scar pregnancy, transvaginal color ultrasonography can be used as the main method for diagnosis, methotrexate injection before hysteroscopic or laparoscopic uterine incision pregnancy resection could be an effective treatment.
