中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
36期
68-68,70
,共2页
剖宫产%瘢痕部位妊娠%临床分析
剖宮產%瘢痕部位妊娠%臨床分析
부궁산%반흔부위임신%림상분석
Cesarean%Scars pregnancy%Clinical analysis
目的：对剖宫产瘢痕部位妊娠的个体化治疗进行临床分析。方法：2013年1月-2014年1月收治子宫切口妊娠患者18例，对临床治疗进行分析。结果：18例MTX杀胚治疗1周后，血β-HCG水平显著降低，其中14例腹腔镜下行清宫术治疗成功，术中出血＜50 mL，病理检查确诊瘢痕妊娠。4例腹腔镜下病灶切除术，术中出血＜100 mL，病理检查结果及术中所见均提示病变累及肌层或达浆膜层，并有绒毛组织植入。住院7～10 d，18例均痊愈出院。结论：选择实施个体化治疗方案均取得很好的疗效，患者子宫及生育能力得以保全，对广大临床工作者有一定参考价值。
目的：對剖宮產瘢痕部位妊娠的箇體化治療進行臨床分析。方法：2013年1月-2014年1月收治子宮切口妊娠患者18例，對臨床治療進行分析。結果：18例MTX殺胚治療1週後，血β-HCG水平顯著降低，其中14例腹腔鏡下行清宮術治療成功，術中齣血＜50 mL，病理檢查確診瘢痕妊娠。4例腹腔鏡下病竈切除術，術中齣血＜100 mL，病理檢查結果及術中所見均提示病變纍及肌層或達漿膜層，併有絨毛組織植入。住院7～10 d，18例均痊愈齣院。結論：選擇實施箇體化治療方案均取得很好的療效，患者子宮及生育能力得以保全，對廣大臨床工作者有一定參攷價值。
목적：대부궁산반흔부위임신적개체화치료진행림상분석。방법：2013년1월-2014년1월수치자궁절구임신환자18례，대림상치료진행분석。결과：18례MTX살배치료1주후，혈β-HCG수평현저강저，기중14례복강경하행청궁술치료성공，술중출혈＜50 mL，병리검사학진반흔임신。4례복강경하병조절제술，술중출혈＜100 mL，병리검사결과급술중소견균제시병변루급기층혹체장막층，병유융모조직식입。주원7～10 d，18례균전유출원。결론：선택실시개체화치료방안균취득흔호적료효，환자자궁급생육능력득이보전，대엄대림상공작자유일정삼고개치。
Objective:To clinically analyze individualized treatment in 18 cases of cesarean scars pregnancy.Methods:18 patients with cesarean scar pregnancy were selected from January 2013 to January 2014.The clinical treatment was analyzed.Results:After 1 week of MTX killing embryo treatment in 18 cases,the blood β-HCG level decreased significantly;among 14 cases of laparoscopic uterine curettage treatment were success;the intraoperative bleeding was less than 50 mL;the pathology examination confirmed the diagnosis of scar pregnancy.4 cases were laparoscopic lesions resection;the intraoperative bleeding was less than 100 mL;the pathology examination results and intraoperative visible all showed lesions involving the muscle layer or serosa, and villus tissue implant.The hospitalization was 7~10 days.18 cases were all cured.Conclusion:Selecting the implementation of individualized treatment programs achieve very good results,the uterus and fertility in patients achieve preserve.It has a certain reference value for general clinical workers.
