【摘要】 目的:探讨子宫瘢痕妊娠的诊治特点。方法:回顾分析了2013年6月至2014年10月因瘢痕妊娠在我院诊治的97例病例的临床表现、辅助检查、治疗方法及效果,53例先行子宫动脉栓塞术(UAE)后刮宫,44例未行UAE,总结其出血的风险因素和治疗的特点。结果:出血风险与停经时间相关,停经时间长,出血风险高;与血HCG值无关;停经<56 d者行UAE与未行UAE下刮宫出血量无明显差异;停经≥56 d者行UAE后刮宫出血较少,有优势。停经11周以上病例大出血及子宫切除的几率增高。结论:瘢痕妊娠关键是早发现,早诊断,早治疗,可减少并发症的发生。如停经时间达3个月的病例要警惕大出血的发生。更多还原

【Abstract】 Objective To determine the clinical value of hysteroscopy technology in high risk planned abortion. Methods A retrospective study of clinical manifestation, medical tests, treatment methods and effects of97 cases(hospitalized from June, 2013 to October 2014) was made in the research. Of the 97 cases, 53 underwent UAE, and 44 did not undergo UAE. The risk factors and treatment features were concluded. Results The hemorrhage risk relates to menopause period. The longer menopause period, the higher the hemorrhage risk will be.The hemorrhage risk has nothing to do with HCG. For those whose menopause is less than 56 days, hemorrhage risk showed no difference between groups with or without UAE. For those whose menopause is less than 56 days,hemorrhage risk decreases in group with UAE. Hemorrhage risk and hysterectomy possibility are higher if menopause has happened for more than 11 weeks. Conclusion Cesarean scar pregnancy needs to be detected and treated early, in this way, the possibility for complications can be lowered. For cases whose menopause has been more than e weeks, hemorrhage risk should be cautioned.更多还原