早孕期子宫瘢痕妊娠治疗的诊疗进展(1)
【摘 要】早期子宮瘢痕妊娠是指受精卵着床于子宫瘢痕处的妊娠，仅限于≤12周。近年来剖宫产率不断增加，二胎政策开放后，剖宫产术后子宫瘢痕部位妊娠(Cesarean scar pregnancy， CSP)的发生率逐年上升，该病属于较为严重的围产期疾病，可导致孕妇孕期反复阴道流血、下腹痛以及孕中晚期子宫破裂及周围器官损伤等发生，部分患者需实施子宫切除术，这不仅会给患者机体造成巨大创伤，同时还会严重影响到患者的生育能力及心理健康，造成孕产妇一生难以弥补的伤害，因此对于此类疾病的患者应积极采取措施治疗，以尽量减少上述情况的发生。为了能够对CSP的发生、预测以及治疗进展进行了解，确保母体的平安，本次对子宫切口瘢痕妊娠的发生机制、预测及诊疗进展进行探讨。
【关键词】 早期子宫瘢痕妊娠;发生机制;预测;诊疗进展
文章编号：WHR201910156
[Abstract] Early uterine scar pregnancy refers to a pregnancy in which a fertilized egg is laid in a uterine scar and is limited to ≤ 12 weeks. And in recent years， the rate of cesarean section has continued to increase. After the two-child policy has been opened， the incidence of pregnancy in the uterine scar(CSP) after cesarean section has increased year by year. The disease is a more serious perinatal disease. It can lead to repeated vaginal bleeding， abdominal pain during pregnancy， rupture of the uterus in the middle and late stages of pregnancy， and damage to the surrounding organs. Some patients need to perform hysterectomy， which will not only cause great trauma to the patient's body. At the same time， it will also seriously affect the patient's fertility and mental health， causing irreparable damage to the mother's life， so patients with such diseases should actively take measures to treat so as to minimize the occurrence of the above. In order to understand the occurrence， prediction and treatment progress of CSP and ensure the safety of the mother， the mechanism， prediction and diagnosis and treatment of uterine incision scar pregnancy were discussed., http://www.100md.com(谢常懿)
【关键词】 早期子宫瘢痕妊娠;发生机制;预测;诊疗进展
文章编号：WHR201910156
[Abstract] Early uterine scar pregnancy refers to a pregnancy in which a fertilized egg is laid in a uterine scar and is limited to ≤ 12 weeks. And in recent years， the rate of cesarean section has continued to increase. After the two-child policy has been opened， the incidence of pregnancy in the uterine scar(CSP) after cesarean section has increased year by year. The disease is a more serious perinatal disease. It can lead to repeated vaginal bleeding， abdominal pain during pregnancy， rupture of the uterus in the middle and late stages of pregnancy， and damage to the surrounding organs. Some patients need to perform hysterectomy， which will not only cause great trauma to the patient's body. At the same time， it will also seriously affect the patient's fertility and mental health， causing irreparable damage to the mother's life， so patients with such diseases should actively take measures to treat so as to minimize the occurrence of the above. In order to understand the occurrence， prediction and treatment progress of CSP and ensure the safety of the mother， the mechanism， prediction and diagnosis and treatment of uterine incision scar pregnancy were discussed., http://www.100md.com(谢常懿)