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前次剖宫产手术时机及其后人工流产史与剖宫产瘢痕部位妊娠关系的临床研究
引用本文:金影. 前次剖宫产手术时机及其后人工流产史与剖宫产瘢痕部位妊娠关系的临床研究[J]. 临床和实验医学杂志, 2014, 0(15): 1296-1298
作者姓名:金影
作者单位:首都医科大学附属北京友谊医院妇产科,北京100050
摘    要:目的探讨前次剖宫产手术时机及其后人工流产史与剖宫产瘢痕部位妊娠(CSP)之间的关系。方法回顾性分析、总结北京友谊医院近10年来收治的剖宫产瘢痕部位妊娠65例临床资料。结果 65例CSP患者中有49例(75.4%)剖宫产手术时机为临产前,仅16例(24.6%)为进入产程后剖宫产;52例(80.0%)患者在剖宫产后及此次CSP之间有过人工流产史,仅13例(20.0%)为剖宫产后首次妊娠。结论前次剖宫产手术时机为临产前者较产程中者剖宫产术后更易发生子宫瘢痕部位妊娠,剖宫产术后宫腔手术操作史增加了其后出现CSP的风险。

关 键 词:剖宫产瘢痕部位妊娠  剖宫产术  手术时机  人工流产史

Clinical research of relationship between the timing of operation of cesarean section,the number of abortion times after cesarean section and cesarean scar pregnancy
JIN Ying. Clinical research of relationship between the timing of operation of cesarean section,the number of abortion times after cesarean section and cesarean scar pregnancy[J]. Journal of Clinical and Experimental Medicine, 2014, 0(15): 1296-1298
Authors:JIN Ying
Affiliation:JIN Ying.( Department of Obstetrics and Gynecology, Beijing Friendship Hospital, Capital Medical University, Bei- ring 100050, China.)
Abstract:Objective To investigate the relationship between the time of operation of cesarean section,the number of abortion times after cesarean section and cesarean scar pregnancy( CSP). Methods The clinical data of 65 cases of CSP were retrospectively analyzed. Results Of65 cases of CSP,49( 75. 4%) underwent cesarean section before the stage of labor,only 16( 24. 6%) in the stage of labor; and 52( 80. 0%)had abortion history after previous cesarean section,only 13( 20. 0%) were the first time pregnancy after previous cesarean section. Conclusion CSP is more likely to occur in patients who underwent cesarean section before labor,and the history of abortion after previous cesarean section increases the risk of CSP.
Keywords:Cesarean scar pregnancy  Cesarean section  Timing of operation  History of abortion
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