摘要
目的:探讨5例剖宫产瘢痕妊娠(CSP)围分娩期临床特点、诊断及治疗措施。方法:收集2004-2006年在本院分娩或外院转入的5例CSP病例作回顾性分析。结果:5例均在剖宫产术中才发现子宫原瘢痕处胎盘植入,术中出血平均(3030±991)mL,3例出现不可避免膀胱损伤。结论:术前阴道彩色多普勒超声及核磁共振检查对子宫瘢痕部位妊娠诊断有帮助。充分的术前准备是必要的,在剖宫产术中胎盘的处理技巧、尽早行子宫动脉栓塞是治疗的关键。
Objective： To analyze the clinical features, diagnosis and management of cesarean scar pregnancy （CSP）. Methods：A retrospective analysis was performed in 5 cases of CSP admitted or referred to our hospital over a 3-year period from January 2004 to December 2006. Results ： Placenta embedding into sites of pre-existing uterine scar was not found in all of 5 cases until cesarean section, The mean blood loss was （3030±991） mL. Three patients suffered inevitable bladder injury during the procedure. Conclusion： Transvaginal color Doppler uhrasonography and magnetic resonance imaging may be helpful to identify CSP. Adequate preoperative preparation should be essential. Techniques for placenta management and early embolization of the uterine arteries may be critical for the treatment.
出处
《广州医学院学报》
2007年第6期46-48,共3页
Academic Journal of Guangzhou Medical College
关键词
瘢痕部位妊娠
前次剖宫产
分娩
cesarean scar pregnancy
previous caesarean
labor
