中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
32期
57-58
,共2页
剖宫产%切口妊娠%临床诊断与治疗
剖宮產%切口妊娠%臨床診斷與治療
부궁산%절구임신%림상진단여치료
Caesarean section%Incision pregnancy%Clinical diagnosis and treatment
目的：对剖宫产术后切口妊娠诊断、治疗方法进行总结分析。方法：收集剖宫产术后切口妊娠病例18例，对其诊断及治疗方法进行回顾性研究。结果：1例诊断为稽留流产，清宫术中大出血即行子宫动脉栓塞术；7例采用顿服米非司酮、单剂量甲氨蝶呤、气囊压迫宫腔保守治疗；2例误诊为宫内正常妊娠，人工流产术中大出血，给予甲氨蝶呤单剂量联合气囊压迫宫腔止血，待HCG下降后行清宫术；8例使用米非司酮顿服联合甲氨蝶呤单剂量行药物治疗。结论：剖宫产术后切口妊娠采用气囊压迫宫腔联合药物杀胚治疗可以有效杀胚并减少出血，降低HCG值与保全子宫，以保存患者生育能力。
目的：對剖宮產術後切口妊娠診斷、治療方法進行總結分析。方法：收集剖宮產術後切口妊娠病例18例，對其診斷及治療方法進行迴顧性研究。結果：1例診斷為稽留流產，清宮術中大齣血即行子宮動脈栓塞術；7例採用頓服米非司酮、單劑量甲氨蝶呤、氣囊壓迫宮腔保守治療；2例誤診為宮內正常妊娠，人工流產術中大齣血，給予甲氨蝶呤單劑量聯閤氣囊壓迫宮腔止血，待HCG下降後行清宮術；8例使用米非司酮頓服聯閤甲氨蝶呤單劑量行藥物治療。結論：剖宮產術後切口妊娠採用氣囊壓迫宮腔聯閤藥物殺胚治療可以有效殺胚併減少齣血，降低HCG值與保全子宮，以保存患者生育能力。
목적：대부궁산술후절구임신진단、치료방법진행총결분석。방법：수집부궁산술후절구임신병례18례，대기진단급치료방법진행회고성연구。결과：1례진단위계류유산，청궁술중대출혈즉행자궁동맥전새술；7례채용돈복미비사동、단제량갑안접령、기낭압박궁강보수치료；2례오진위궁내정상임신，인공유산술중대출혈，급여갑안접령단제량연합기낭압박궁강지혈，대HCG하강후행청궁술；8례사용미비사동돈복연합갑안접령단제량행약물치료。결론：부궁산술후절구임신채용기낭압박궁강연합약물살배치료가이유효살배병감소출혈，강저HCG치여보전자궁，이보존환자생육능력。
Objective:To summarize and analyze the diagnosis and treatment of cesarean section incision pregnancy.Methods:18 cases of cesarean section incision pregnancy were selected.The diagnosis and treatment were retrospectively studied.Results:1 case was diagnosed missed abortion,and the patient occured hemorrhoea in the uterine curettage and given uterine arterial embolization.7 cases were treated with taking mifepristone,a single dose methotrexate and air pressure oppression uterine cavity conservative treatment.2 cases were misdiagnosed as normal intrauterine pregnancy,and the patient occured hemorrhoea in the artificial abortion operation and was given a single dose methotrexate combined with air pressure oppression uterine cavity hemostasis,uterine curettage was performed after HCG drop.8 cases were given taking mifepristone combined with a single dose methotrexate drug therapy.Conclusion:Using air pressure oppression uterine cavity combined with drug killing embryo in the treatment of cesarean section incision pregnancy can effectively killing fetus and reduce bleeding,and reduce HCG value and preserve the uterus,in order to preserve fertility of patients.
