CAJ | 학술논문

目的：观察探讨分析子宫疤痕部位妊娠的临床病例，分析子宫疤痕部位妊娠的临床表现，寻求科学的诊断方法，合理的治疗手段，增强临床工作者对于该疾病的重视，提高我们的医疗服务水平和质量。方法选取2010年1月-2013年12月期间，在我院接受的子宫疤痕部位妊娠的患者10例，回顾性分析在我院诊断，治疗以及临床疗效的全过程，分析在这一过程中的临床治疗经验。结果在我院接受的治疗的10例患者中，直接确诊为子宫疤痕部位妊娠的患者有4例，诊断检查时误诊的有6例，误诊率达到了60%，其中保守治疗的6例，采取开腹取胚手术的患者4例，保守治疗成功者5例，因保守治疗失败转而采用开腹取胚手术的1例。结论该种疾病的误诊率很高，在临床上诊断难度大，要引起医务工作者的足够重视，要及早做B超，早发现、早诊断、早治疗。根据患者的具体临床表现并结合患者自身情况，选取合理的治疗方案。
목적：관찰탐토분석자궁파흔부위임신적림상병례，분석자궁파흔부위임신적림상표현，심구과학적진단방법，합리적치료수단，증강림상공작자대우해질병적중시，제고아문적의료복무수평화질량。방법선취2010년1월-2013년12월기간，재아원접수적자궁파흔부위임신적환자10례，회고성분석재아원진단，치료이급림상료효적전과정，분석재저일과정중적림상치료경험。결과재아원접수적치료적10례환자중，직접학진위자궁파흔부위임신적환자유4례，진단검사시오진적유6례，오진솔체도료60%，기중보수치료적6례，채취개복취배수술적환자4례，보수치료성공자5례，인보수치료실패전이채용개복취배수술적1례。결론해충질병적오진솔흔고，재림상상진단난도대，요인기의무공작자적족구중시，요급조주B초，조발현、조진단、조치료。근거환자적구체림상표현병결합환자자신정황，선취합리적치료방안。
Objective To observe the uterine scar pregnancy clinical cases are discussed, and analyze the clinical manifestations of the uterine scar pregnancy, seek scientific diagnosis methods, and reasonable treatment, enhance clinical workers for the attention of the disease, and improve the level of our medical service and quality. Methods January 2010 - December 2013, in our hospi-tal in patients undergoing the uterine scar pregnancy 10, in our hospital were retrospectively analyzed the diagnosis, treatment and clinical curative effect, the whole process of analysis in the process of the clinical treatment experience. Results The treated in our hospital in 10 patients, patients with the diagnosis of uterine scar pregnancy directly, four diagnostic work-up misdiagnosed there are six, the misdiagnosis rate was 60%, among them the conservative treatment of six, four take embryo take laparotomy surgery patients, 5 winners and conservative treatment for conservative treatment failure take embryo favour laparotomy surgery Conclusion The disease misdiagnosis rate is high, in the clinical diagnosis is difficult, should cause the enough attention of the medical work-ers, should do B to exceed, as early as possible early detection, early diagnosis and early treatment. According to the patient's spe-cific clinical manifestations and combined with the patient's own situation, choose reasonable treatment scheme.