剖宫产切口瘢痕妊娠的诊断及治疗进展

被引：6

作者：

徐振玲

机构：

[1] 天津滨海新区大港妇女儿童保健中心

来源：

医学理论与实践 | 2013年 / 26卷 / 22期

关键词：

剖宫产术; 瘢痕子宫; 异位妊娠; 子宫破裂;

D O I：

10.19381/j.issn.1001-7585.2013.22.015

中图分类号：

R714.2 [病理妊娠（异常妊娠）];

学科分类号：

100211 [妇产科学];

摘要：

剖宫产切口瘢痕妊娠(CSP)诊断及治疗的延误可能导致子宫破裂、致命的阴道大出血,甚至危及患者生命,早期诊断及恰当的治疗非常重要。CSP一旦确诊应及早终止妊娠,常用的治疗方案包括药物保守治疗、刮宫术、腹腔镜或开腹手术、选择性子宫动脉栓塞术等,但由于CSP发病率低,临床缺乏足够的认识和有力的询证医学依据,目前尚无统一和确切的治疗方案。因此对治疗方案的选择须遵循个体化原则。

引用

页码：2972 / 2974+2977 +2977

页数：4

共 11 条

[1]

剖宫产瘢痕部位妊娠病因及诊治进展 [J].

高京海 ;

朱芝玲 ;

鹿欣 .

中国实用妇科与产科杂志, 2009, 25 (08) :631-633

[2]

剖宫产术后子宫瘢痕部位妊娠96例临床分析 [J].

张英 ;

陈义松 ;

王佳佳 ;

陆芝英 ;

华克勤 .

中华妇产科杂志, 2010, (09)

[3]

Surgical management of cesarean scar ectopic pregnancy: hysterotomy by transvaginal approach [J].

Kang, So-Yeon ;

Park, Byung-Joon ;

Kim, Yong-Wook ;

Ro, Duck-Young .

FERTILITY AND STERILITY, 2011, 96 (01) :E25-E28

[4]

Methotrexate therapy for cesarean section scar pregnancy with and without suction curettage [J].

Wang, Jian-Hua ;

Xu, Kai-Hong ;

Lin, Jun ;

Xu, Jian-Yun ;

Wu, Rui-Jin .

FERTILITY AND STERILITY, 2009, 92 (04) :1208-1213

[5]

Hysteroscopic Surgery of Ectopic Pregnancy in the Cesarean Section Scar [J].

Yang, Qing ;

Piao, Shuhua ;

Wang, Guangwei ;

Wang, Yu ;

Liu, Chunyan .

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2009, 16 (04) :432-436

[6]

Diagnosis of ectopic pregnancy with ultrasound [J].

Kirk, Emma ;

Bourne, Tom .

BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY, 2009, 23 (04) :501-508

[7]

Treatment of a viable caesarean scar pregnancy with transvaginal methotrexate and potassium chloride injection [J].

Goynumer, Gokhan ;

Gokcen, Canan ;

Senturk, Baki ;

Turkgeldi, Engin .

ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2009, 280 (05) :869-872

[8]

DIAGNOSIS AND TREATMENT OF CESAREAN SCAR PREGNANCY [J].

Lanzhou JiaoJun ZhaoXirun WanXinyan LiuFengzhi FengTong Renand Yang Xiang Department of Obstetrics and GynecologyPeking Union Medical College HospitalChineseAcademy of Medical Sciences Peking Union Medical CollegeBeijing .

ChineseMedicalSciencesJournal, 2008, (01) :10-15

[9]

Endoscopic management of cesarean scar pregnancy [J].