新疆医学
新疆醫學
신강의학
Xinjiang Medical Journal
2015年
11期
1610-1612,1621
,共4页
剖宫产%瘢痕妊娠%诊断%治疗
剖宮產%瘢痕妊娠%診斷%治療
부궁산%반흔임신%진단%치료
Cesarean section%Scar pregnancy%Diagnosis%Treatment
目的 探讨剖宫产瘢痕部位妊娠(cesarean scar pregnancy, CSP)的临床发病特点、诊断以及治疗方法.方法 回顾性分析我院收治的34例瘢痕部位妊娠患者的临床资料、治疗过程及结局.结果 34例患者9例首诊误诊,误诊率为26.47%.32例治愈,2例血HCG上升,患者要求出院,其中3例最终行子宫切除术.结论 CSP误诊率高,超声检查是其早期诊断方法,对剖宫产疤痕妊娠的治疗应根据患者情况及医疗条件制定最安全有效的治疗方案.
目的 探討剖宮產瘢痕部位妊娠(cesarean scar pregnancy, CSP)的臨床髮病特點、診斷以及治療方法.方法 迴顧性分析我院收治的34例瘢痕部位妊娠患者的臨床資料、治療過程及結跼.結果 34例患者9例首診誤診,誤診率為26.47%.32例治愈,2例血HCG上升,患者要求齣院,其中3例最終行子宮切除術.結論 CSP誤診率高,超聲檢查是其早期診斷方法,對剖宮產疤痕妊娠的治療應根據患者情況及醫療條件製定最安全有效的治療方案.
목적 탐토부궁산반흔부위임신(cesarean scar pregnancy, CSP)적림상발병특점、진단이급치료방법.방법 회고성분석아원수치적34례반흔부위임신환자적림상자료、치료과정급결국.결과 34례환자9례수진오진,오진솔위26.47%.32례치유,2례혈HCG상승,환자요구출원,기중3례최종행자궁절제술.결론 CSP오진솔고,초성검사시기조기진단방법,대부궁산파흔임신적치료응근거환자정황급의료조건제정최안전유효적치료방안.
Objective To explore the clinical characteristics, diagnostic methods and treatment of the cesarean scar pregnancy (CSP). Methods The clinical data,course of treatment and outcome for 40 patients with CSP were analyzed retrospectively. Results 9 out of 34 patients were primarily misdiagnosed, and the misdiagnosed rate was 26.47%;32 patients were cured, 2 patients had the serum HCG-level gradually elevated and they demanded leaving hospital, 3 patients had hystectomy finally. Conclusion The misdiagnose rate of cesarean scar pregnancy is high, ultrasound is the early and main diagnostic method, A secure and effective treatment program for CSP should be made according to clinical situation and medical conditions.
