吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
13期
2735-2736
,共2页
剖宫产术%子宫瘢痕妊娠%术后并发症
剖宮產術%子宮瘢痕妊娠%術後併髮癥
부궁산술%자궁반흔임신%술후병발증
Cesarean section%Cesarean scar pregnancy%Postoperative conplications
目的：探讨剖宫产术后子宫瘢痕妊娠的诊断及治疗方法。方法：回顾性分析收治的符合子宫瘢痕妊娠诊断标准的63例患者的临床资料。结果：63例CSP患者中有59例在治疗前经阴道彩超检查确诊，占93.7%；63例患者均行清宫术治疗， UAE后行清宫术、UAE+MTX后清宫术、单纯清宫术三种方法在停经时间、手术时间、出血量以及术后hCG下降情况方面比较，差异无统计学意义（P>0.05）；所有患者均月经复潮，平均（32.2±9.8）d，无再次CSP发生。结论：彩超在CSP早期诊断方面具有重要作用，UAE后行清宫术、UAE+MTX后清宫术均具有较好的疗效。
目的：探討剖宮產術後子宮瘢痕妊娠的診斷及治療方法。方法：迴顧性分析收治的符閤子宮瘢痕妊娠診斷標準的63例患者的臨床資料。結果：63例CSP患者中有59例在治療前經陰道綵超檢查確診，佔93.7%；63例患者均行清宮術治療， UAE後行清宮術、UAE+MTX後清宮術、單純清宮術三種方法在停經時間、手術時間、齣血量以及術後hCG下降情況方麵比較，差異無統計學意義（P>0.05）；所有患者均月經複潮，平均（32.2±9.8）d，無再次CSP髮生。結論：綵超在CSP早期診斷方麵具有重要作用，UAE後行清宮術、UAE+MTX後清宮術均具有較好的療效。
목적：탐토부궁산술후자궁반흔임신적진단급치료방법。방법：회고성분석수치적부합자궁반흔임신진단표준적63례환자적림상자료。결과：63례CSP환자중유59례재치료전경음도채초검사학진，점93.7%；63례환자균행청궁술치료， UAE후행청궁술、UAE+MTX후청궁술、단순청궁술삼충방법재정경시간、수술시간、출혈량이급술후hCG하강정황방면비교，차이무통계학의의（P>0.05）；소유환자균월경복조，평균（32.2±9.8）d，무재차CSP발생。결론：채초재CSP조기진단방면구유중요작용，UAE후행청궁술、UAE+MTX후청궁술균구유교호적료효。
Objective To investigate the diagnosis and treatnent of cesarean scar pregnancy. Method Retrospective analyzed the clini-cal data of 63 patients who were diagnosed with uterine scar pregnancy. Results 59 of 63 patients were diagnosed by transvaginal ultra-sound;63 patients underwent curettage treatnent including UAE underwent curettage,UAE + MTX after curettage and curettage a-lone. there was no significant difference at the tine of nenopause,surgical tine,blood loss and postoperative decline in hCG(P>0. 05);All patients were nenstruation after(32. 2 ± 9. 8)d,no CSP happened again. Conclusion Ultrasound in the CSP has an inportant role in ear-ly diagnosis,UAE underwent curettage,UAE + MTX after curettage have a satisfactory effect.
