国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (4): 438-440.

• 论著 • 上一篇    下一篇

经阴道剖宫产术后子宫瘢痕妊娠病灶切除病例研究

范晓东，朱颖军   

  1. 300100 天津市中心妇产科医院妇科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-15 发布日期:2014-08-15
  • 通讯作者: 朱颖军

Study about Cases of Transvaginal Removal of Cesarean Scar Pregnancy

FAN Xiao-dong，ZHU Ying-jun   

  1. Department of Gynecology，Tianjin Central Hospital of Gynecology Obstetrics，Tianjin 300100，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-15 Online:2014-08-15
  • Contact: ZHU Ying-jun

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摘要： 目的：探讨经阴道剖宫产术后子宫瘢痕妊娠（cesarean scar pregnancy，CSP）病灶切除手术的临床实用价值。方法：收集我院2012年9月—2013年9月收治的CSP患者6例，采用经阴道手术清除CSP病灶，观察术中出血量、术后血人绒毛膜促性腺激素（hCG）下降情况、住院时间及月经复潮情况。结果：6例手术均成功，无明显并发症，术后恢复良好，术中出血量20～50 mL，平均（28.33±11.25）mL；术后血hCG恢复正常时间为10～22 d，平均（16.83±4.21）d；住院时间为5~8 d，平均（6.50±1.05）d；月经恢复时间为26~58 d，平均（35.00±11.73）d。结论：经阴道CSP病灶切除术是一种安全经济、快速有效的治疗方法。

关键词: 妊娠, 异位, 剖宫产术, 妇科外科手术, 剖宫产瘢痕妊娠

Abstract: Objective：To evaluate the clinical value of transvaginal removal of caesarean scar pregnancy （CSP）. Methods：This was a retrospective study on 6 patients with CSP enrolled from September 2012 to September 2013, 6 patients treated by transvaginal removal of caesarean scar pregnancy. Intra-operative blood loss, time required for blood hCG droping to normal, hospital stay and menstruation recovery were observed. Results：The procedure was completed in all the patients without causing complications. Intra-operative blood loss was 20-50 mL，（28.33±11.25）mL; time of blood hCG droping to normal was 10-22 d, （16.83±4.21）d; time of hospital stay was 5-8 d,（6.50±1.05 d）; and time of menstruation recovery was 26-58 d,（35±11.73）d. Conclusions：Transvaginal removal of Caesarean scar pregnancy is a safe, economical, quickly and efficient procedure for patients with CSP.

Key words: Pregnancy, ectopic, Cesarean section, Gynecologic surgical procedures, Cesarean scar pregnancy