摘要
目的:探讨子宫瘢痕妊娠的诊断及适时和恰当的治疗方法。方法:回顾性分析笔者所在医院近3年收治的12例子宫瘢痕妊娠(caesarean scar pregnancy,SP)患者的临床诊治过程。其中外院误诊2例,因大出血转入笔者所在医院,急诊手术行瘢痕妊娠切除,余10例生命体征平稳,均行宫腹腔镜联合治疗。结果:10例行宫腹腔镜联合探查术均获成功。其中8例应用MTX及口服米非司酮,术后随诊h CG监测明显下降到100 m IU/ml以下。结论:宫腹腔镜联合治疗子宫瘢痕妊娠可以明确诊断瘢痕妊娠,具有手术时间短、创伤少、保留患者生育功能等优势,是CSP较为理想的治疗方法。
Objective： To investigate the diagnosis and treatment of caesarean scar pregnancy.Method： A retrospective clinical analysis of 12 cases CSP.2 cases of them were misdiagnosed with massive hemorrhage, emergency operation were performed.10 cases of them received hysteroscope combined with laparoscope.Result： 10 cases received hysteroscope combined with laparoscope were cured.8 cases of them took MTX and Mifepristone, hCG decreased to 100 mlU/ml.Conclusion： Hysteroscope combined with laparoscope has following advantages： minimal trauma, less bleeding, light pain, quick recovery, lower cost and short hospitalization time.
出处
《中外医学研究》
2016年第2期114-115,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
