Cesarean Scar Pregnancy:A Report of 35 Cases_West China Medical Journal

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W Lin , L Hongwei , Z Li , et al.

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Keywords：

剖宫产; 瘢痕妊娠; 诊断处理

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目的：讨论剖宫产瘢痕妊娠的早期正确诊断方法和适当的治疗措施。方法：回顾性分析我院35例剖宫产瘢痕妊娠病例的临床表现、超声影像和治疗方法。结果：33例病例经血βhCG测定、B超或彩超确诊，2例行清宫术或诊刮术时发生大出血，后经彩超修正诊断。31例接受药物、清宫等保守性治疗，4例接受介入治疗，所有病例均好转或痊愈。结论：广大临床医师对剖宫产瘢痕妊娠认识的提高，以及超声检查技术的发展，使早期明确诊断和成功保守治疗该病成为可能。

Citation： W Lin,L Hongwei,Z Li,et al.. Cesarean Scar Pregnancy:A Report of 35 Cases. West China Medical Journal, 2008, 23(1): 131-132. doi: Copy

1.	[１]Fylstra DL.Ectopic pregnancy within a cesarean scar:a review[Ｊ].Obstet Gynecol Surv,2002,57(8):537-543．.
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.	王细文.剖宫产瘢痕部位妊娠[Ｊ].国外医学妇产科分册，2004,31（3）：156．.
4.	邵温群，郑斐.剖宫产术后子宫瘢痕处妊娠5例临床分析[Ｊ].中华妇产科杂志，2003,38（6）：366．.
5.	Herman A,Weinraub Z. Avrech O,et al.Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar[Ｊ].Br J Obstet Gynaecol,1995,102（１０）:839－８４１．.
6.	Krasznai I,Rigo’ J Jr，Boze T,et al.Uncommon type of placentation after previous cesarean deliveries[Ｊ].Obstet Gynaecol,2003,102(3):549-551．.
7.	Godin PA,Bassil S,Donnez J.An ectopic pregnancy developing in a previous caesarean section scar[Ｊ].Fertil Steril,1997,67(2):398-400．Erratum in:Fertil steril,1997,68(1):187.[8]范平，陈健美.超声在剖宫产瘢痕部位绒毛种植的诊断与分析[Ｊ].中华超声诊断杂志，2003,4（1）：62．.

1. [１]Fylstra DL.Ectopic pregnancy within a cesarean scar:a review[Ｊ].Obstet Gynecol Surv,2002,57(8):537-543．.
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. 王细文.剖宫产瘢痕部位妊娠[Ｊ].国外医学妇产科分册，2004,31（3）：156．.
4. 邵温群，郑斐.剖宫产术后子宫瘢痕处妊娠5例临床分析[Ｊ].中华妇产科杂志，2003,38（6）：366．.
5. Herman A,Weinraub Z. Avrech O,et al.Follow up and outcome of isthmic pregnancy located in a previous caesarean section scar[Ｊ].Br J Obstet Gynaecol,1995,102（１０）:839－８４１．.
6. Krasznai I,Rigo’ J Jr，Boze T,et al.Uncommon type of placentation after previous cesarean deliveries[Ｊ].Obstet Gynaecol,2003,102(3):549-551．.
7. Godin PA,Bassil S,Donnez J.An ectopic pregnancy developing in a previous caesarean section scar[Ｊ].Fertil Steril,1997,67(2):398-400．Erratum in:Fertil steril,1997,68(1):187.[8]范平，陈健美.超声在剖宫产瘢痕部位绒毛种植的诊断与分析[Ｊ].中华超声诊断杂志，2003,4（1）：62．.

West China Medical Journal

Cesarean Scar Pregnancy:A Report of 35 Cases

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