摘要
目的 探讨剖宫产后子宫疤痕妊娠绒毛植入的诊断和治疗方法.方法 回顾性分析我院2008年3月至2012年3月收治的14例子宫下段剖宫产子宫切口疤痕妊娠绒毛植入患者的临床资料.结果 12例经彩色多普勒超声确诊,2例误诊为宫内妊娠、先兆流产,经盆腔磁共振检查后确诊.12例于我院行双侧子宫动脉栓塞术,栓塞术后1～3 d行刮宫术,10例治疗成功.1例行次全子宫切除术,1例行人工流产＋甲氨蝶呤治疗.结论 彩超及盆腔磁共振是诊断剖宫产后切口疤痕妊娠绒毛植入的有效方法;子宫动脉栓塞＋刮宫术治疗有效,出血量少,保留生育功能概率高.
Objective To discuss the diagnosis and management of cesarean scar ectopic pregnancies with villi implanted.Methods The clinical data of fourteen cesarean scar ectopic pregnancies with villi implanted,from March 2008 to March 2012 in our hospital,were retrospectively analyzed.Results Twelve patients(78.57%) were diagnosed by gynecological color Doppler ultrasound examination,and two patients were misdiagnosed as early pregnancy,threatened abortion,which was then corrected by pelvic magnetic resonance imaging.Twelve patients underwent bilateral uterine artery embolization and curettage in one to three days.Ten patients were cured successful,one patient got subtotal hysterectomy,and another one got artificial abortion with methotrexate therapy.Conclusion Color Doppler ultrasound and pelvic magnetic resonance are the effective methods for diagnosing cesarean scar ectopic pregnancies with villi implanted.Uterine artery embolization and curettage is the effective treatment,which results in less bleeding and preserves the reproductive function of high rate.
出处
《海南医学》
CAS
2013年第19期2916-2918,共3页
Hainan Medical Journal
关键词
子宫下段剖宫产
疤痕妊娠
绒毛植入
Uterine lower segmental cesarean section
Cesarean scar pregnancy
Villi implanted
