现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2009年
16期
2422-2424
,共3页
剖宫产子宫疤痕%异位妊娠%氨甲蝶呤%子宫动脉栓塞
剖宮產子宮疤痕%異位妊娠%氨甲蝶呤%子宮動脈栓塞
부궁산자궁파흔%이위임신%안갑접령%자궁동맥전새
Cesarean section uterine scar%Ectopic pregnancy%Methotrexate%Uterine artery embolization
目的:探讨疤痕子宫妊娠(CSP)的早期诊断和早期治疗的方法.方法:回顾性分析我院收治的8例CSP的临床资料.结果:CSP的发生率为1/1317,血β-HCG转为正常时间,依次为异位病灶切除术,子宫动脉栓塞术+清宫术,氨甲蝶呤全身药物治疗.结论:CSP超声检查使其早期诊断成为可能,子宫动脉栓塞为首选,能迅速止血或预防出血,单纯MTX药物治疗可以有效终止妊娠,但潜在有子宫破裂的危险,手术切除疤痕妊娠及修补,有助于HCG恢复.
目的:探討疤痕子宮妊娠(CSP)的早期診斷和早期治療的方法.方法:迴顧性分析我院收治的8例CSP的臨床資料.結果:CSP的髮生率為1/1317,血β-HCG轉為正常時間,依次為異位病竈切除術,子宮動脈栓塞術+清宮術,氨甲蝶呤全身藥物治療.結論:CSP超聲檢查使其早期診斷成為可能,子宮動脈栓塞為首選,能迅速止血或預防齣血,單純MTX藥物治療可以有效終止妊娠,但潛在有子宮破裂的危險,手術切除疤痕妊娠及脩補,有助于HCG恢複.
목적:탐토파흔자궁임신(CSP)적조기진단화조기치료적방법.방법:회고성분석아원수치적8례CSP적림상자료.결과:CSP적발생솔위1/1317,혈β-HCG전위정상시간,의차위이위병조절제술,자궁동맥전새술+청궁술,안갑접령전신약물치료.결론:CSP초성검사사기조기진단성위가능,자궁동맥전새위수선,능신속지혈혹예방출혈,단순MTX약물치료가이유효종지임신,단잠재유자궁파렬적위험,수술절제파흔임신급수보,유조우HCG회복.
Objective:To explore the early diagnosis and early treatment of cesarean section scar pregnancy (CSP). Methods: Retrospective analysis of eight cases in our hospital CSP was performed. Results:CSP incidence was 1/1317. The time of serum β-HCG turning to normal was in sequence of excision of ectopic loci, uterine artery embolizafion +uterine curettage and systemic methotrexate treatment. Conclusion:Ultrasonography is able to early diagnosing CSP. Uterine artery embolization is first choice to quickly stop bleeding or prevent bleeding.MTX treatment alone can effectively terminate pregnancy,but there is potential risk of uterine rupture. Surgical removal of scar pregnancy and repair contributes to the restoration of HCG.
