摘要
目的探讨剖宫产术后子宫瘢痕妊娠的诊断及治疗方法。方法回顾性分析25例剖宫产术后子宫瘢痕妊娠患者临床资料,观察诊断及治疗方法。结果25例患者中,8例经腹超声确诊,15例经阴道超声确诊,2例经磁共振成像(MRI)检查确诊。治疗方面,B超引导下行清宫术10例,其中行Foley导尿管压迫止血1例,改行经腹病灶清除术1例;甲氨蝶呤(MTX)肌内注射治疗9例,治愈6例,3例改经腹病灶清除术;6例直接行经腹病灶清除术。结论B超是诊断剖宫产术后子宫瘢痕妊娠的主要方法,MRI可协助剖宫产术后子宫瘢痕妊娠分型,血人绒毛膜促性腺激素(HCG)可监测治疗效果,治疗方案个体化,愈后良好。
Objective To discuss the diagnosis and treatment of uterine scar pregnancy after cesarean section.Methods The clinical data of 25 cases of uterine scar pregnancy patients after cesarean section were retrospectively analyzed,and the diagnosis and treatment methods were observed.Results Of the 25 patients,the diagnosis was confirmed by transabdominal ultrasound in 8 cases,by vaginal ultrasound in 15 cases,and by magnetic resonance imaging(MRI)in 2 cases.For treatment,B-ultrasound-guided curettage was performed in 10 cases,of which 1 case underwent Foley catheter compression to stop bleeding,and 1 case underwent transabdominal debridement.Methotrexate(MTX)intramuscular injection treatment was performed in 9 cases,6 cases were cured,3 cases were converted to transabdominal debridement 6 cases were directly subjected to transabdominal debridement.Conclusion B-ultrasound is the main method for the diagnosis of cesarean scar pregnancy.MRI can assist in staging post-cesarean uterine scar pregnancy,and blood human chorionic gonadotropin(HCG)can monitor the therapeutic effect.The treatment plan is individualized with good prognosis.
作者
费翠芹
FEI Cui-qin(Department of Gynaecology,People’s Hospital of Lianshui County,Huaian 223400,China)
出处
《中国实用医药》
2022年第2期37-39,共3页
China Practical Medicine
关键词
剖宫产术后子宫瘢痕妊娠
临床表现
诊断
治疗
Uterine scar pregnancy after cesarean section
Clinical manifestation
Diagnosis
Treatment
