论文部分内容阅读
目的总结子宫切口瘢痕部位妊娠(CSP)的诊治体会。方法将近15年内遇到的10例临床资料作回顾性分析。结果 7例经药物联合治疗与清宫术后好转,1例在腹腔镜下与另2例在开腹下清除瘢痕病灶加修补子宫治愈。无子宫切除病例,住院平均14.5d,10例安全出院。结论发病因素与子宫手术有关,超声诊断起重要作用,治疗原则根据年龄、孕期、病情、产妇体质等,尽力做到了三保,即保命、保子宫、保生育功能。本组因早孕较多,完全做到三保,结果医患满意。
Objective To summarize the diagnosis and treatment of uterine incision scar site pregnancy (CSP). Methods The clinical data of 10 cases encountered in the past 15 years were retrospectively analyzed. Results 7 cases were cured by combination of drugs and postoperative curettage. One case was cured by laparoscopy and the other 2 cases were treated by removing scar lesions under open laparotomy plus repair uterus. No cases of hysterectomy, hospital average 14.5d, 10 patients were discharged safely. Conclusions The morbidity factors are related to uterine surgery. Ultrasound diagnosis plays an important role. According to the principle of treatment, according to the age, pregnancy, illness and maternal physique, we try our best to achieve the three guarantees, that is, keeping the life, protecting the uterus and protecting the reproductive function. This group because of early pregnancy, completely three guarantees, the results of the patient satisfaction.