剖宫产术后子宫瘢痕妊娠15例临床分析
-
摘要: 目的:探讨剖宫产术后子宫瘢痕妊娠的诊断及治疗方法。方法:对15例剖宫产术后子宫瘢痕妊娠患者的临床资料进行回顾性分析,其中9例应用甲氨蝶呤等药物治疗后行清宫术,3例行双侧子宫动脉栓塞介入治疗后行清宫术,3例行子宫切除手术。结果:15例患者中误诊为宫内妊娠4例,误诊为葡萄胎1例,误诊率33.3%;15例患者均经治疗后出院。结论:由于剖宫产术后子宫瘢痕妊娠漏误诊率较高,早期诊断和及早采用个体化治疗方案,对避免不必要的子宫切除至关重要。
-
[2] Godin PA,Bassil S,Donnez XJ.An ectopic pregnancy developing in a previous cesarean section sear[J].Fertil Steril,1997, 67( 2):398-400. [2] Shen L,Tan A,Zhu H,et al.Bilateral uterine artery chemoembolization with methotrexate for cesarean scar pregnancy[J].Am J Obstet Gynecol, 2012, 207( 5):386. [3] Ko HS,Lee Y,Lee HJ, et al.Sonographic and MR findings in 2 cases of intramural pregnancy treated conservatively[J].J Clin Ultra,2006,34( 7):356-360. [4] Abraham RJ,Weston MJ.Expectant management of a caesarean scar pregnancy[J].Journal of obstetrics and gynaecology, 2012,92( 25):1729-1733. [5] Seow KM,Huang LW,Lin YH,et al.Cesarean scar pregnancy:issues in management[J].Ultrasound Obstet Gynecol,2004,23( 3):247-253. [6] 冯莉,崔文华,马志敏,等.剖宫产术后子宫瘢痕妊娠10 例诊治方法探讨[J].中国妇幼保健2012,27( 15):2285-2286. [7] ZhuangY,HuangL.Uterine artery embolization comparedwithm otrexate for themanagemen to fpregnancy implanted within a cesareanscar[J].Am J Obstet Gynecol, 2009,201( 2):152-153. [8] 尹玲,陶霞,朱毓纯,等.剖宫产术后子宫瘢痕妊娠42 例临床分析[J].中华妇产科杂志,2009,44( 8):566-569.
点击查看大图
计量
- 文章访问数: 3452
- HTML全文浏览量: 528
- PDF下载量: 188
- 被引次数: 0