本文選題：剖宮產(chǎn)瘢痕妊娠 + 預(yù)處理　； 參考：《中國微創(chuàng)外科雜志》2017年04期

【摘要】：目的探討剖宮產(chǎn)瘢痕妊娠(cesarean scar pregnancy,CSP)的診治方法。方法回顧性分析2014年1月~2016年12月我院首診的83例CSP的臨床資料。79例超聲確診,2例MRI確診,2例(2.4%)漏診。其中11例無預(yù)處理直接彩超監(jiān)測下清宮術(shù)(按中華醫(yī)學(xué)會(huì)2016年分型,Ⅰ型10例,Ⅱ型1例),34例甲氨蝶呤(methotrexate,MTX)預(yù)處理24小時(shí)后行彩超監(jiān)測下清宮術(shù)(Ⅰ型30例,Ⅱ型4例),37例子宮動(dòng)脈栓塞(uterine artery embolization,UAE)預(yù)處理24小時(shí)后行彩超監(jiān)測下清宮術(shù)(Ⅰ型3例,Ⅱ型30例,Ⅲ型4例),1例UAE預(yù)處理后24小時(shí)行腹腔鏡監(jiān)測下清宮術(shù)(Ⅲ型)。結(jié)果手術(shù)均獲成功,無中轉(zhuǎn)開腹及子宮切除,無持續(xù)性妊娠。術(shù)后隨訪65例,β-h CG降至正常時(shí)間2~5周,月經(jīng)恢復(fù)時(shí)間4~9周。結(jié)論根據(jù)孕周、分型采取不同預(yù)處理方式聯(lián)合清宮術(shù)治療CSP簡單、安全、有效,是適合基層醫(yī)院的理想方法。
[Abstract]:Objective to investigate the diagnosis and treatment of cesarean scar pregnancyn (CSP) in cesarean scar pregnancy.Methods the clinical data of 83 cases of CSP from January 2014 to December 2016 were retrospectively analyzed. 79 cases were diagnosed by ultrasound and 2 cases were diagnosed by MRI.Among them, 11 cases (10 cases of type 鈪，

本文編號(hào)：1740709