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剖宫产术后子宫瘢痕妊娠的危险因素及诊疗进展

Risk factors and diagnosis and treatment progress of uterine scar pregnancy after cesarean section

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【作者】 刘一萍李廉黄建邕郑惠冰莫坚

【Author】 LIU Yiping;LI Lian;HUANG Jianyong;ZHENG Huibing;MO Jian;Department of Gynecology, Nanning First People’s Hospital;

【机构】 南宁市第一人民医院妇科

【摘要】 近年来,随着二胎政策的开放,剖宫产术后子宫瘢痕妊娠的发生率随之上升,其可以引发子宫破裂或阴道大出血。本文分析了该病的发病机制,简述了导致其发病的危险因素,以及一旦确诊后需立即停止妊娠,采取的一系列药物治疗和刮宫术、子宫动脉栓塞术及宫腔镜腹腔镜等手术治疗方法。个体化治疗原则是改善患者病情的关键。本文通过对剖宫产术后子宫瘢痕妊娠的相关研究作一综述,为其临床诊疗提供循证医学参考。

【Abstract】 In recent years, with the opening of the second-child policy, the incidence of uterine scar pregnancy after cesarean section has increased, which can cause uterine rupture or vaginal bleeding. This article analyzes the pathogenesis of the disease, outlines the risk factors that lead to its onset, the need to stop the pregnancy immediately after diagnosis, a series of drug treatment and curettage, uterine artery embolization and hysteroscopic laparoscopic surgery treatment methods. The principle of individualized treatment is the key to improving the patient’s condition. This article reviews the research on uterine scar pregnancy after cesarean section and provides evidence-based medical references for clinical diagnosis and treatment.

【基金】 广西壮族自治区南宁市卫生和计划生育委员会重点研发计划(20173017-3)
  • 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2018年31期
  • 【分类号】R714.22
  • 【被引频次】16
  • 【下载频次】197
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