论文部分内容阅读
目的探讨剖宫产子宫瘢痕妊娠(CSP)的临床特征及处置方法。方法回顾性分析温县人民医院2009年6月至2012年9月收治的16例CSP患者的临床特征及治疗情况。结果 16例患者进行治疗,3例行子宫次全切术,10例B超引导下经腹部穿刺子宫切口妊娠囊内注射甲氨蝶呤配合米非司酮片口服后,待血人绒毛膜促性腺激素(HCG)接近正常后局部无出血,行超声引导下清宫术。3例开腹行瘢痕处组织切除术+瘢痕修补术。结论提高对CSP的认识,应做到早诊断、早治疗。药物保守治疗后+超声引导下清宫术,对于基层医院不失为治疗CSP的主要治疗方法。
Objective To investigate the clinical characteristics and treatment of cesarean section uterine scar pregnancy (CSP). Methods The clinical features and treatment of 16 patients with CSP admitted from June 2009 to September 2012 in Wenxian People’s Hospital were retrospectively analyzed. Results 16 patients were treated, 3 cases were subtotal hysterectomy, 10 cases of B-guided abdominal transcervical uterine incision intraperitoneal injection of methotrexate with mifepristone tablets after oral administration of human chorionic Gonadal hormone (HCG) close to normal after no local bleeding, under the guidance of ultrasound curettage. 3 cases of open cicatricial scar resection + scar repair. Conclusion To raise awareness of CSP, early diagnosis and early treatment should be done. After conservative treatment of drugs + ultrasound-guided curettage, the primary hospital for the treatment of CSP after all, the main treatment.