论文部分内容阅读
目的:对早孕期剖宫产瘢痕妊娠患者的临床及病理学特点进行分析。方法:采用回顾性分析方式,对从2010年7月至2013年12月来我院进行剖宫产瘢痕妊娠的患者中选出92例,根据患者的实际情况为其选择相应的治疗方法,其中有89例患者采用的是在超声检测设备的监控下,利用腹腔镜技术对患者的患病部位进行电切;而另3例患者则是仅在腹腔镜技术下进行患病部位的楔形切除。对两组患者的患病部位进行检验分析,了解其病理学特点,并同时对患者的临床特点进行分析。方法:本次分析的患者均为瘢痕妊娠患者,其临床特点以阴道异常流血为主。病理学特点主要包括子宫内平滑肌组织不完整、各细胞之间不存在较为紧密的连接、组织间有间隙、有绒毛组织存在于间隙之间。结论:瘢痕妊娠的患者,其病理学特点有着较小的差别,主要与组织间间隙有一定的关系,根据患者不同特点确定治疗方法,能够有效提升治疗效果。
Objective: To analyze the clinical and pathological features of cesarean scar pregnancy in early pregnancy. Methods: A retrospective analysis of 92 cases of cesarean scar pregnancy in our hospital from July 2010 to December 2013, according to the actual situation of patients choose the appropriate treatment method, in which 89 patients underwent the laparoscopic resection of the diseased part of the patient under the supervision of an ultrasonic testing equipment. The other 3 patients underwent wedge resection of the diseased part only under laparoscopy. The diseased parts of two groups were tested and analyzed to understand their pathological features, and at the same time, the clinical features of the patients were analyzed. Methods: All the patients in this analysis were patients with scar pregnancy. The clinical features were vaginal abnormal bleeding. Pathological features include intrauterine smooth muscle tissue is not complete, there is no more close connection between the cells, interstitial tissue, villous tissue exists in the gap between. Conclusion: Patients with scar pregnancy have a little difference in their pathological features. They are mainly related to interstitial space. According to different characteristics of patients, the treatment method can be effectively used to improve the therapeutic effect.