| 宫腔镜治疗剖宫产术后子宫瘢痕妊娠临床分析 |
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| 引用本文： | 祝贺,赵淑华,陈军,郑晶莹.宫腔镜治疗剖宫产术后子宫瘢痕妊娠临床分析[J].中国妇幼保健,2010,25(32). |
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| 作者姓名： | 祝贺 赵淑华 陈军 郑晶莹 |
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| 作者单位： | 吉林大学第二医院妇产科,吉林,长春,130041 |
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| 摘 要： | 目的:探讨宫腔镜手术在剖宫产术后子宫瘢痕妊娠治疗中的应用价值。方法:回顾性分析17例CSP患者的治疗情况。术前予以米非司酮和甲氨蝶呤(MTX)治疗,3天后联合B超监测,行宫腔镜下清宫术和病灶切除术。结果:17例CSP患者均于宫腔镜下手术成功,未出现严重并发症。结论:术前药物(米非司酮+MTX)预处理,术中联合B超监测行宫腔镜手术是目前治疗剖宫产术后子宫瘢痕妊娠的有效措施,能够保留患者生育功能,是一种可供选择的微创手术方法。
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| 关 键 词： | 剖宫产 子宫瘢痕妊娠 宫腔镜 米非司酮 甲氨蝶呤 |
Clinical analysis of hysteroscopic surgery for cesarean scar pregnancy |
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| Abstract: | Objective:To evaluate the applicative value of hysteroscopic surgery to treat cesarean scar pregnancy.Methods:The medical records of 17 patients with cesaresn scar pregnancy admitted in our hospital from September 2008 to April 2010 were analyzed.The patients were treated by Mifepristone and methotrexate(MTX) before operation.3 days later,the patients were underwent operative hysteroscopy to remove the conceptive tissue assisted by ultrasound.Results:All the 17 cases were performed successfully by hysteroscopy without serious complications.Conclusion:After drug(Mifepristone plus MTX) pretreatment,Hysteroscopic surgery assisted by ultrasound during operation is regarded as the effective management to cesarean scar pregnancy,because of shorter operative time,less bleeding,smaller trauma and faster postoperative recovery and preserving the reproductive capacity.So it is a selection of minimally invasive surgery. |
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| Keywords: | Cesarean section Cesarean section pregnancy Hysteroscopy Mifepristone Methotrexate |
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