摘要
目的:分析剖宫产术后子宫疤痕处妊娠的发病原因,增强子宫疤痕处妊娠的预防、早期诊断及积极治疗效果。方法:回顾研究2000年6月～2009年6月收治子宫疤痕处妊娠患者62例,分析其发病原因、治疗、预后情况。结果:子宫疤痕处妊娠的发生率为6%,缺乏必要的B超检查、与上次剖宫产之间间隔时间、剖宫产次数及早期对本病认识不足等因素是导致剖宫产术后子宫疤痕处妊娠的重要原因,对于确诊为剖宫产术后子宫疤痕处妊娠的患者,行腹部B超引导下的妊娠囊内注射甲氨蝶呤能够得到有效治愈。结论:剖宫产术后子宫疤痕处妊娠严重危害妇女的安全,B超是早期诊断疤痕处妊娠的有效手段。
Objective： To analyze the etiology of scar pregnancy after cesarean section, and heighten prevention, early diagnosis and effect of active treatment. Methods： 62 women of scar pregnancy after cesarean section from June 2000 to June 2009 were analyzed ret- rospectively, the etiology, treatment and prognosis were analyzed. Results： The incidence of scar pregnancy was 6% , the causes of scar ＇pregnancy after cesarean section were lack of necessary 13 - ultrasonic examination, time interval between the previous cesarean section and pregnancy, frequency of cesarean section and lack of knowledge of scar pregnancy, for the patients diagnosed as scar pregnancy after cesarean section definitely, injection of methotrexate into gestation sac guided by abdominal B ultrasound was effective. Conclusion： Scar pregnancy after cesarean section endangers the safety of pregnant women, B ultrasound is an effective method in treatment of scar pregnancy.
出处
《中国妇幼保健》
CAS
北大核心
2010年第10期1328-1329,共2页
Maternal and Child Health Care of China
关键词
子宫疤痕
子宫破裂
妊娠
早期诊断
预防
Uterine scar
Uterine rupture
Pregnancy
Early diagnosis
Prevention
