目的:討論剖宮產(chǎn)瘢痕妊娠的早期正確診斷方法和適當(dāng)?shù)闹委煷胧?。方法:回顧性分析我?5例剖宮產(chǎn)瘢痕妊娠病例的臨床表現(xiàn)、超聲影像和治療方法。結(jié)果:33例病例經(jīng)血βhCG測定、B超或彩超確診,2例行清宮術(shù)或診刮術(shù)時(shí)發(fā)生大出血,后經(jīng)彩超修正診斷。31例接受藥物、清宮等保守性治療,4例接受介入治療,所有病例均好轉(zhuǎn)或痊愈。結(jié)論:廣大臨床醫(yī)師對(duì)剖宮產(chǎn)瘢痕妊娠認(rèn)識(shí)的提高,以及超聲檢查技術(shù)的發(fā)展,使早期明確診斷和成功保守治療該病成為可能。
引用本文: 吳琳,劉宏偉,張力,徐克惠. 剖宮產(chǎn)瘢痕妊娠35例分析. 華西醫(yī)學(xué), 2008, 23(1): 131-132. doi: 復(fù)制
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- 2. Seow KW,Huang LW,Lin YH,et al.Cesarean scar pregnancy:issues in management[J].Ultrasound Obstet Gynecol,2004,23(3):247-253..
- 3. 王細(xì)文.剖宮產(chǎn)瘢痕部位妊娠[J].國外醫(yī)學(xué)婦產(chǎn)科分冊(cè),2004,31(3):156..
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