[1]顾祝新,黄 健,赵 辉.子宫瘢痕妊娠的诊治进展[J].介入放射学杂志,2015,(08):742-745.
 GU Zhu- xin,HUANG Jian,ZHAO Hui.The latest progress in the diagnosis and treatment of uterine scar pregnancy[J].journal interventional radiology,2015,(08):742-745.
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子宫瘢痕妊娠的诊治进展()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年08期
页码:
742-745
栏目:
综述
出版日期:
2015-08-25

文章信息/Info

Title:
The latest progress in the diagnosis and treatment of uterine scar pregnancy
作者:
顾祝新 黄 健 赵 辉
Author(s):
GU Zhu- xinHUANG JianZHAO Hui
Department of Interventional Radiography, Affiliated Hospital of Nantong University, Nantong, Jiangsu Province 226001, China
关键词:
【关键词】 子宫 瘢痕妊娠 剖宫产
文献标志码:
A
摘要:
【摘要】 近年来,随着剖宫产率的增高,子宫瘢痕妊娠的发生率较前有所增加,该病发病机制迄今未阐明,诊断方面无统一标准,早期临床上表现无特异性,术前不易诊断,常误诊误治,临床治疗也意见不一,处理不及时或不恰当时可能引起患者子宫破裂、阴道大量出血,甚至因失血性休克危及生命。本文主要针对子宫瘢痕妊娠的诊治进展综述如下。

参考文献/References:

[参 考 文 献]
[1] Einenkel J, Stumpp P, Kosling S, et al. A misdiagnosed case of caesarean scar pregnancy[J]. Arch Gynecol Obstet, 2005, 271: 178- 181.
[2] 蒋桔莲, 陈 健, 罗玲斐. 剖宫产后子宫切口妊娠的治疗体会[J]. 中国初级卫生保健, 2010, 24: 49- 50.
[3] Godin PA, Bassil S, Donnez J. An ectopic pregnancy developing in a previous caesarian section scar[J]. Fertil Steril, 1997, 67: 398- 400.
[4] Shih JC. Cesarean scar pregnancy: diagnosis with three- dimensional(3D)ultrasound and 3D power Doppler[J]. Ultrasound Obstet Gynecol, 2004, 23: 306- 307.
[5] Ash A, Smith A, Maxwell D. Caesarean scar pregnancy[J]. BJOG, 2007, 114: 253- 263.
[6] 王俊兰, 赫 飞. 经阴道彩色多普勒超声诊断子宫瘢痕处早期妊娠的临床价值[J]. 中国计划生育学杂志, 2009, 17: 487- 489.
[7] Hebisch G, Kirkinen P, Haldemann R, et al. Comparative study of the lower uterine segment after Cesarean section using ultrasound and magnetic resonance tomography[J]. Ultraschall Med, 1994, 15: 112- 116.
[8] 张宇杨, 越 波, 李小毛. 异位妊娠与妇科急诊[M]. 北京: 人民军医出版社, 2011: 87.
[9] Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management[J]. Obstet Gynecol, 2006, 107: 1373- 1381.
[10] Ko HS, Lee Y, Lee HJ, et al. Sonographic and MR findings in 2 cases of intramural pregnancy treated conservatively [J]. J Clin Ultrasound, 2006, 34: 356- 360.
[11] Chiang AJ, La V, Chou CP, et al. Ectopic pregnancy in a cesarean section scar[J]. Fertil Steril, 2011, 95: 2388- 2389.
[12] 李 彭, 刘 伟, 杨 军. 剖宫产术后切口妊娠的MRI诊断价值[J]. 影像诊断与介入放射学, 2014, 23: 121- 124.
[13] 郑鸿鸽. 宫腔镜诊治子宫切口妊娠12 例分析[J]. 医药世界,2009, 11: 177- 178.
[14] 闻 酤, 刘晓瑷. 剖宫产术后子宫瘢痕妊娠的诊治进展[J]. 生殖与避孕, 2008, 28: 236- 239.
[15] Muraji M, Mabuchi S, Hisamoto K, et al. Cesarean scar pregnancies successfully treated with methotrexate[J]. Acta Obstet Gynecol Scand, 2009, 88: 720- 723.
[16] Zhuang Y, Huang L. Uterine artery embolization compared with methotrexate for the management of pregnancy implanted within a cesarean scar[J]. Am J Obstet Gynecol, 2009, 201: 152. e1- e3.
[17] 顾伟瑾, 王海云, 万 军, 等. 不同剂量MTX经动脉灌注治疗切口妊娠疗效的分析[J]. 介入放射学杂志, 2010, 19: 568- 571.
[18] Sadeghi H, Rutherford T, Rackow BW, et al. Cesarean scar ectopic pregnancy: case series and review of the literature[J]. Am J Perinatol, 2010, 27: 111- 120.
[19] 张 磊, 顾伟瑾, 万 军, 等. 甲氨蝶呤与氟尿嘧啶在介入治疗剖宫产后子宫切口妊娠中的疗效对比[J]. 介入放射学杂志, 2012, 21: 327- 330.
[20] 李 玮, 鲁 意. 天花粉治疗子宫切口瘢痕妊娠的疗效分析[J]. 中外医学研究, 2012, 10: 102- 103.
[21] 姚红丽, 仝进毅. 天花粉蛋白在妇产科临床应用进展[J]. 浙江中西医结合杂志, 2013, 23: 954- 956.
[22] Bhattacharya SM, Jha A. Prevalence and risk of metabolic syndrome in adolescent Indian girls with polycystic ovary syndrome using the 2009 joint interim criteria[J]. J Obstet Gynaecol Res, 2011, 37: 1303- 1307.
[23] Wu X, Zhang X, Zhu J, et al. Cesarean scar pregnancy: comparative efficacy and safety of treatment by uterine artery chemoembilization and sysemic methotrexate injection[J]. Eur J Obstet Gynecol Reprod Biol, 2012, 161: 75- 79.
[24] Gao L, Huang Z, Gao J, et al. Uterine artery embolization followed by dilation and curettage within 24 hours compared with systemic methotrexate for cesarean scar pregnancy[J]. Int J Gynaecol Obstet, 2014, 127: 147- 151.
[25] 顾祝新, 黄 健, 赵 辉, 等. 经子宫动脉化疗栓塞联合B超引导下清宫治疗瘢痕妊娠41例效果观察[J]. 南通大学学报, 2013, 33: 101- 103.
[26] 陈 毅, 谢春明, 杨敏玲, 等. 子宫动脉栓塞术在剖宫产术后子宫瘢痕妊娠治疗中的应用[J]. 介入放射学杂志, 2012, 21: 410- 413.
[27] 惠本君, 方月兰, 刘相佟, 等. 子宫动脉MTX灌注+栓塞联合宫腔镜下清宫术治疗子宫瘢痕妊娠[J].影像诊断与介入放射学, 2013, 22: 376- 378.
[28] Goynumer G, Gokeen C, Senturk B, et al. Treatment of a viable caesarean scar pregnancy with transvaginal methotrexate and potassium chloride injection[J]. Arch Gynecol Obstet, 2009, 280: 869- 872.
[29] Hudecek R, Felsingerova Z, Felsinger M, et al. Laparoscopic treatment of cesarean scar ectopic pregnancy[J]. J Gynecol Surg, 2014, 30: 309- 311.
[30] Zhuang Y, Huang L. Uterine artery embolization compared with methotrexate for the management of pregnancy implanted within a cesarean scar[J]. Am J Obstet Gynecol, 2009, 201: 152.e1-152.e3.
[31] Lee JH, Kim SH, Cho SH, et al. Laparoscopic surgery of ectopic gestational sac implanted in the cesarean section scar[J]. Surg Laparosc Endosc Percutan Tech, 2008, 18: 479- 482.
[32] Demirel LC, Bodur H, Selam B, et al. Laparoscopic management of heterotopic cesarean scar pregnancy with preservation of intrauterine gestation and delivery at term: case report[J]. Fertil Steril, 2009, 91: 1293.e5- 1293.e7.
[33] 刘 蓉, 曾文洁. 剖宫产术后子宫瘢痕妊娠的综合治疗[J]. 现代妇产科进展, 2006, 15: 715- 716.
[34] He M, Chen MH, Xie HZ, et al. Transvaginal removal of ectopic pregnancy tissue and repair of uterine defect for caesarean scar pregnancy[J]. BJOG, 2011, 118: 1136- 1139.
[35] 张 岩, 柳友清, 吴大保. 不同手术方式对剖宫产术后瘢痕妊娠的临床效果[J]. 中国临床保健杂志, 2013, 16: 274- 276.
[36] Duff P. A simple checklist for preventing major complications associated with cesarean delivery[J]. Obstet Gynecol, 2010, 116: 1393- 1396.

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备注/Memo

备注/Memo:
(收稿日期:2014-10-30)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-08-23