中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
5期
52-53
,共2页
剖宫产术后%子宫瘢痕妊娠%诊断与治疗
剖宮產術後%子宮瘢痕妊娠%診斷與治療
부궁산술후%자궁반흔임신%진단여치료
After cesarean section%Uterine scar pregnancy%Diagnosis and treatment
目的：探讨剖宫产术后子宫瘢痕妊娠的诊断与治疗方法，总结出效果更佳的诊断与治疗方法。方法：2013年9月-2014年9月收治剖宫产术后子宫瘢痕妊娠患者24例，对其诊断、治疗方法及治疗效果等相关资料进行分析。结果：24例患者经过彩超加核磁检查，确诊22例，确诊率91.7%。对其中10例患者采用海扶术加宫腔镜下妊娠残留物电切术进行治疗，成功8例，成功率80%；对14例患者采用子宫动脉栓塞术加宫腔镜下妊娠残留物电切术进行治疗，成功12例，成功率85.7%。结论：在剖宫产术后子宫瘢痕妊娠诊断方法中，彩超加核磁检查诊断方法是首选。对于剖宫产术后子宫瘢痕妊娠，最好是早期诊断、早期治疗，有利于提高确诊率和治疗效果；在治疗方法中，海扶术加宫腔镜下妊娠残留物电切术和子宫动脉栓塞术加宫腔镜下妊娠残留物电切术这2种方法均有出血少、创伤小、安全性高、住院天数短的优点，实际治疗中，要根据患者的病情选择合适的治疗方法。
目的：探討剖宮產術後子宮瘢痕妊娠的診斷與治療方法，總結齣效果更佳的診斷與治療方法。方法：2013年9月-2014年9月收治剖宮產術後子宮瘢痕妊娠患者24例，對其診斷、治療方法及治療效果等相關資料進行分析。結果：24例患者經過綵超加覈磁檢查，確診22例，確診率91.7%。對其中10例患者採用海扶術加宮腔鏡下妊娠殘留物電切術進行治療，成功8例，成功率80%；對14例患者採用子宮動脈栓塞術加宮腔鏡下妊娠殘留物電切術進行治療，成功12例，成功率85.7%。結論：在剖宮產術後子宮瘢痕妊娠診斷方法中，綵超加覈磁檢查診斷方法是首選。對于剖宮產術後子宮瘢痕妊娠，最好是早期診斷、早期治療，有利于提高確診率和治療效果；在治療方法中，海扶術加宮腔鏡下妊娠殘留物電切術和子宮動脈栓塞術加宮腔鏡下妊娠殘留物電切術這2種方法均有齣血少、創傷小、安全性高、住院天數短的優點，實際治療中，要根據患者的病情選擇閤適的治療方法。
목적：탐토부궁산술후자궁반흔임신적진단여치료방법，총결출효과경가적진단여치료방법。방법：2013년9월-2014년9월수치부궁산술후자궁반흔임신환자24례，대기진단、치료방법급치료효과등상관자료진행분석。결과：24례환자경과채초가핵자검사，학진22례，학진솔91.7%。대기중10례환자채용해부술가궁강경하임신잔류물전절술진행치료，성공8례，성공솔80%；대14례환자채용자궁동맥전새술가궁강경하임신잔류물전절술진행치료，성공12례，성공솔85.7%。결론：재부궁산술후자궁반흔임신진단방법중，채초가핵자검사진단방법시수선。대우부궁산술후자궁반흔임신，최호시조기진단、조기치료，유리우제고학진솔화치료효과；재치료방법중，해부술가궁강경하임신잔류물전절술화자궁동맥전새술가궁강경하임신잔류물전절술저2충방법균유출혈소、창상소、안전성고、주원천수단적우점，실제치료중，요근거환자적병정선택합괄적치료방법。
Objective:To investigate the methods of diagnosis and treatment of uterine scar pregnancy after cesarean section,in order to summarize the better methods on diagnosis and treatment.Methods:24 patients with uterus scar pregnancy after cesarean section cases were selected from September 2013 to September 2014,then we analyzed the related data on diagnosis,treatment methods and therapeutic efficacy.Results:There were 22 patients in 24 patients diagnosed by color Doppler ultrasound and MRI, and the diagnosis rate was 91.7% .In those 22 cases,10 cases were treated with haifu operation combined with hysteroscopy resection,and 8 cases were succesed,and the success rate was 80%;other 14 cases were treated with uterine artery embolization with hysteroscopy resection,there were 12 cases succesed,and the success rate was 85.7%.Conclusion:Color Doppler ultrasound combined with magnetic is the preferred diagnostic method for uterine scar pregnancy after cesarean section.For patients with uterine scar pregnancy after cesarean section,early diagnosis and early treatment is helpful to improve the diagnostic rate and therapeutic effect.For those 2 treatment methods of haifu operation combined with hysteroscopy resection,and uterine artery embolization with hysteroscopy resection,both have the advantages of less bleeding,small trauma,high safety and short hospitalization days,in real terms that we should choose a suitable treatment method according to the patient's condition.
