子宫疤痕部位妊娠临床分析

目的观察探讨分析子宫疤痕部位妊娠的临床病例,分析子宫疤痕部位妊娠的临床表现,寻求科学的诊断方法,合理的治疗手段,增强临床工作者对于该疾病的重视,提高我们的医疗服务水平和质量。方法选取2010年1月—2013年12月期间,在我院接受的子宫疤痕部位妊娠的患者10例,回顾性分析在我院诊断,治疗以及临床疗效的全过程,分析在这一过程中的临床治疗经验。结果在我院接受的治疗的10例患者中,直接确诊为子宫疤痕部位妊娠的患者有4例,诊断检查时误诊的有6例,误诊率达到了60%,其中保守治疗的6例,采取开腹取胚手术的患者4例,保守治疗成功者5例,因保守治疗失败转而采用开腹取胚手术的1例。结论该种疾病的误诊率很高,在临床上诊断难度大,要引起医务工作者的足够重视,要及早做B超,早发现、早诊断、早治疗。根据患者的具体临床表现并结合患者自身情况,选取合理的治疗方案。

Uterine scar pregnancy clinical analysis

Objective To observe the uterine scar pregnancy clinical cases are discussed, and analyze the clinical manifestations of the uterine scar pregnancy, seek scientific diagnosis methods, and reasonable treatment, enhance clinical workers for the attention of the disease, and improve the level of our medical service and quality. Methods January 2010- December 2013, in our hospital in patients undergoing the uterine scar pregnancy 10, in our hospital were retrospectively analyzed the diagnosis, treatment and clinical curative effect, the whole process of analysis in the process of the clinical treatment experience. Results The treated in our hospital in 10 patients, patients with the diagnosis of uterine scar pregnancy directly, four diagnostic work-up misdiagnosed there are six, the misdiagnosis rate was 60%, among them the conservative treatment of six, four take embryo take laparotomy surgery patients, 5 winners and conservative treatment for conservative treatment failure take embryo favour laparotomy surgery Conclusion The disease misdiagnosis rate is high, in the clinical diagnosis is difficult, should cause the enough attention of the medical workers, should do B to exceed, as early as possible early detection, early diagnosis and early treatment. According to the patient＇s specific clinical manifestations and combined with the patient＇s own situation, choose reasonable treatment scheme.