摘要
目的探讨宫腔异常与子宫剖宫产瘢痕妊娠(CSP)的相关性。方法选择因子宫剖宫产瘢痕妊娠(CSP)在北京大学人民医院住院的患者65例,所有患者均在子宫动脉栓塞(UAE)后B超监护下行清宫术+宫腔镜检查,观察是否有胚胎组织残留,宫腔有无异常。结果所有患者宫腔镜检查均未见胚胎组织残留,术中发现宫腔异常13例(20.00%),包括子宫内膜息肉、宫腔粘连、子宫纵隔等,其中宫腔粘连的发生率最高。结论宫腔异常可能是CSP发生的危险因素,建议瘢痕子宫患者应在妊娠前检查排除宫腔病变,降低CSP的发生风险。
Objective To study the correlation of the intrauterine abnormality and uterine cesarean scar pregnancy（CSP）.Methods 65 patients with cesarean scar pregnancy（CSP）who were treated in our department recruited in this study.All patients underwent curettaged under the guidance of ultrasound and hysteroscopy after uterine artery embolization.The abnormolity of uterine cavity was analyzed.Results There were no embryonic tissue residues in all patients after curettaging under the guidance of ultrasound and hysteroscopy.13cases（20.00%）with intrauterine abnormality was identified,including endometrial polyps,intrauterine adhesions,uterine mediastinum,etc,the highest incidence is intrauterine adhesions.Conclusions Intrauterine abnormalitymay be a risk factor for CSP,it is suggested that patients with scarred uterusshould received hysteroscopy tofind if there have uterine cavity lesions before pregnancy in order to reduce the risk of CSP.
出处
《中国妇产科临床杂志》
CSCD
北大核心
2016年第1期44-46,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
宫腔异常
瘢痕妊娠
宫腔粘连
宫腔息肉
宫腔镜
intrauterine abnormality
cesarean scar pregnancy
intrauterine adhesions
uterine polyps
hysteroscopy
