摘要
目的关于早孕期剖宫产瘢痕妊娠的临床和病理特点分析。方法本文调查时间为2018年4月到2019年9月,选择在此期间来我院进行治疗的48例早孕期剖宫产瘢痕妊娠产妇作为本文调查对象,对所有研究对象资料进行总结分析临床发病的特点和病理特点,研究临床的治疗和预后的相关表现。结果本文所选择的48例早孕期剖宫产子宫瘢痕妊娠孕妇中存在外生型20例,内生型28例;两种不同类型的孕妇在年龄、剖宫产间隔时间、停经时间、妊娠包块直径、手术时间、住院时间等方面无明显差异,P> 0.05;外生型孕妇的β-HCG水平、术后β-HCG恢复至正常水平时间、包块消失时间方面都明显和内生型存在差异,P <0.05,差异存在统计学意义。结论早孕期剖宫产瘢痕妊娠时不同类型的孕妇在病理特点方面存在一定差异,所以要根据实际检验所得结果进行针对性的干预,以便提升孕妇的妊娠安全性。
Objective To analyze the clinical and pathological characteristics of scar pregnancy in early pregnancy.Methods from April 2018 to September 2019,48 cases of cesarean scar pregnant women who came to our hospital for treatment during this period were selected as the objects of this study.The data of all the subjects were summarized and analyzed the characteristics of clinical morbidity and pathology,and the clinical treatment and prognosis were studied.Results there were 20 cases of ectogenesis and 28 cases of endogenesis in the 48 pregnant women with cesarean scar.There were no significant differences between the two types of pregnant women in age,time between cesarean section,menopause time,diameter of pregnancy mass,operation time and hospitalization time,P>0.05.The level ofβ-hCG and the level ofβ-hCG recovered to normal level after operation There was significant difference in the disappearance time between the two groups and endogenetic type(P<0.05).Conclusion there are some differences in the pathological characteristics of different types of pregnant women in the early stage of cesarean scar pregnancy,so it is necessary to carry out targeted intervention according to the actual test results in order to improve the pregnancy safety of pregnant women.
关键词
早孕期剖宫产疤痕妊娠
临床病理特点
预后分析
Cesarean scar pregnancy in early pregnancy
Clinicopathological characteristics
Prognosis analysis
