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42例剖宫产后切口妊娠的临床分析

ANALYSIS OF 42 PATIENTS WITH CAESAREAN SCAR PREGNANCY

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【作者】 李胜梅陈德新刘玲芳

【Author】 LI Sheng-mei,CHENDe-xin,LIU Ling-fang.(Sichuan Provincial Hospital for Women and Children,Chengdu 610031,China)

【机构】 四川省妇幼保健院四川省妇女儿童医院

【摘要】 [目的]了解子宫切口妊娠的临床特点,探讨其诊治及临床效果。[方法]回顾性分析42例切口妊娠的临床表现和诊断治疗方法。[结果]42例经甲氨喋呤和米非司酮杀胚后清宫,38例治愈,4例药物治疗失败,其中3例行经腹子宫切口妊娠病灶切除术,1例行子宫全切术。[结论]充分认识子宫切口妊娠的临床特征进行早期诊断,及时进行保守治疗加清宫术行之有效。

【Abstract】 [Objective] To know characteristics and assess the diagnosis and treatment of caesarean scar pregnancy.[Methods] The clinical data of 42 cases with caesarean scar pregnancy were retrospectively analyzed.[Results] After the treatment of MTX among the 42 patients,38 persons were cured by dilatation and curettage(D&C),and 3 patients were cured by lumpectomy of cesarean scar pregnancy,and 1 patient had a hysterectomy because of hemorrhoea.[Conclusion] Knowing the clinical characteristics of caesarean scar pregnancy is helpful for correct diagnosis.It is effective to use MTX and D&C in the therapy of cesarean scar pregnancy.

  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2009年19期
  • 【分类号】R714.2
  • 【被引频次】10
  • 【下载频次】122
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