| 剖宫产术后子宫切口瘢痕妊娠临床分析 |
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| 引用本文： | 王鑫丹.剖宫产术后子宫切口瘢痕妊娠临床分析[J].中国当代医药,2013(11):175-176. |
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| 作者姓名： | 王鑫丹 |
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| 作者单位： | 广西医科大学第六附属医院暨玉林市第一人民医院妇科,广西玉林537000 |
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| 摘 要： | 目的探讨剖宫产切口瘢痕妊娠（CSP）的诊治方法。方法回顾性分析本科室于2004年2月-2012年8月收治31例CSP患者临床表现及诊治方法。结果本组31例CSP患者中，给予药物保守治疗18例，成功12例；7例行局部病灶切除及子宫修补术；5例行双侧子宫动脉栓塞术；1例行急诊全子宫切除术。结论超声及血β-人绒毛膜促性腺激素是诊断CSP的主要手段，应选择针对性个体化治疗。
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| 关 键 词： | 剖宫产切口瘢痕妊娠 诊断 治疗 临床分析 |
Clinical analysis of cesarean scar pregnancy |
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| Institution: | WA NG Xindan( Department of Gynecology, the Sixth Affiliated Hospital of Guangxi Medical University ＆ the First People＇s Hospital of Yulin City, Yulin 537000, China) |
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| Abstract: | Objective To explore the early diagnosis and pertinent treatment of cesarean scar pregnancy （CSP）. Meth- ods The clinical presentations diagnoses and treatments of 31 patients with CSP in our hospital from February 2004 to August 2012 were retrospectively analyzed. Results Eighteen cases were treated with medication, 12 cases were suc- cessful. 7 cases were cured by surgical removal and repair of the part of cesarean scar. 5 cases were treated success- fully with uterine artery embolization. 1 case during emergency hysterectomy. Conclusion B ultrasound and β-human chorionic gonadotropin are the main mean to diagnose the CSP, and to select individualized treatment. |
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| Keywords: | Cesarean scar pregnancy Diagnosis Treatment Clinical analysis |
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