• 四川大學(xué)華西第二醫(yī)院婦產(chǎn)科,四川成都 610041;

目的:討論剖宮產(chǎn)瘢痕妊娠的早期正確診斷方法和適當(dāng)?shù)闹委煷胧?。方法:回顧性分析我?5例剖宮產(chǎn)瘢痕妊娠病例的臨床表現(xiàn)、超聲影像和治療方法。結(jié)果:33例病例經(jīng)血βhCG測定、B超或彩超確診,2例行清宮術(shù)或診刮術(shù)時(shí)發(fā)生大出血,后經(jīng)彩超修正診斷。31例接受藥物、清宮等保守性治療,4例接受介入治療,所有病例均好轉(zhuǎn)或痊愈。結(jié)論:廣大臨床醫(yī)師對(duì)剖宮產(chǎn)瘢痕妊娠認(rèn)識(shí)的提高,以及超聲檢查技術(shù)的發(fā)展,使早期明確診斷和成功保守治療該病成為可能。

引用本文: 吳琳,劉宏偉,張力,徐克惠. 剖宮產(chǎn)瘢痕妊娠35例分析. 華西醫(yī)學(xué), 2008, 23(1): 131-132. doi: 復(fù)制

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2. Seow KW,Huang LW,Lin YH,et al.Cesarean scar pregnancy:issues in management[J].Ultrasound Obstet Gynecol,2004,23(3):247-253..
3. 王細(xì)文.剖宮產(chǎn)瘢痕部位妊娠[J].國外醫(yī)學(xué)婦產(chǎn)科分冊(cè),2004,31(3):156..
4. 邵溫群,鄭斐.剖宮產(chǎn)術(shù)后子宮瘢痕處妊娠5例臨床分析[J].中華婦產(chǎn)科雜志,2003,38(6):366..
5. Herman A,Weinraub Z. Avrech O,et al.Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar[J].Br J Obstet Gynaecol,1995,102(10):839-841..
6. Krasznai I,Rigo’ J Jr,Boze T,et al.Uncommon type of placentation after previous cesarean deliveries[J].Obstet Gynaecol,2003,102(3):549-551..
7. Godin PA,Bassil S,Donnez J.An ectopic pregnancy developing in a previous caesarean section scar[J].Fertil Steril,1997,67(2):398-400.Erratum in:Fertil steril,1997,68(1):187.[8]范平,陳健美.超聲在剖宮產(chǎn)瘢痕部位絨毛種植的診斷與分析[J].中華超聲診斷雜志,2003,4(1):62..
  1. 1. [1]Fylstra DL.Ectopic pregnancy within a cesarean scar:a review[J].Obstet Gynecol Surv,2002,57(8):537-543..
  2. 2. Seow KW,Huang LW,Lin YH,et al.Cesarean scar pregnancy:issues in management[J].Ultrasound Obstet Gynecol,2004,23(3):247-253..
  3. 3. 王細(xì)文.剖宮產(chǎn)瘢痕部位妊娠[J].國外醫(yī)學(xué)婦產(chǎn)科分冊(cè),2004,31(3):156..
  4. 4. 邵溫群,鄭斐.剖宮產(chǎn)術(shù)后子宮瘢痕處妊娠5例臨床分析[J].中華婦產(chǎn)科雜志,2003,38(6):366..
  5. 5. Herman A,Weinraub Z. Avrech O,et al.Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar[J].Br J Obstet Gynaecol,1995,102(10):839-841..
  6. 6. Krasznai I,Rigo’ J Jr,Boze T,et al.Uncommon type of placentation after previous cesarean deliveries[J].Obstet Gynaecol,2003,102(3):549-551..
  7. 7. Godin PA,Bassil S,Donnez J.An ectopic pregnancy developing in a previous caesarean section scar[J].Fertil Steril,1997,67(2):398-400.Erratum in:Fertil steril,1997,68(1):187.[8]范平,陳健美.超聲在剖宮產(chǎn)瘢痕部位絨毛種植的診斷與分析[J].中華超聲診斷雜志,2003,4(1):62..