引用本文:凌 丹,赵仁峰.剖宫产瘢痕妊娠17例的诊治分析[J].中国临床新医学,2014,7(2):128-129.
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剖宫产瘢痕妊娠17例的诊治分析
凌 丹,赵仁峰
530021 南宁,广西壮族自治区人民医院妇科
摘要:
[摘要] 目的 探讨适宜剖宫产瘢痕妊娠(CSP)的治疗方案。方法 回顾性分析该院17例CSP患者的临床特点。结果 17例患者均有停经史,10例患者均有停经后阴道流血史;3例在确诊前行人工流产,2例行药物流产,此5例患者均因术后阴道流血淋漓不净而入院治疗;5例入院诊断明确。本组17例全部治愈出院,住院时间平均(5.6±1.1)d。结论 CSP临床易误诊,对有剖宫产手术史的患者,应结合临床症状、体征和辅助检查作出早期诊断,根据患者实际情况予以不同的治疗方案。
关键词:  剖宫产瘢痕妊娠  治疗
DOI:10.3969/j.issn.1674-3806.2014.02.11
分类号:R 714
基金项目:
The treatment experience of 17 cases of cesarean scar pregnancy
LING Dan,ZHAO Ren-feng
Department of Gynecology,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China
Abstract:
[Abstract] Objective To explore the suitable treatment plan of cesarean scar pregnancy(CSP).Methods Clinical features of 17 patients of CSP patients in our hospital were retrospectively analyzed.Results There were 17 patients with postmenopausal history, 10 patients with postmenopausal vaginal bleeding history, 3 patients received artificial abortion before diagnosis,2 patients received drug abortion,these 5 patients received hospitalization treatment because of postoperative vaginal bleeding, 5 patients were diagnosed.All of the 17 cases were cured,the average duration of hospitalization was (5.6±1.1)d.Conclusion CSP is easy to misdiagnosis in clinic, for patients with cesarean section operation history,it should be necessary to combine the symptoms with signs and auxiliary examination to make an early diagnosis, and treatment plan according to the actual situation of different patients.
Key words:  Cesarean scar pregnancy  Treatment