[1]陈玉清,常亚杰,冯劭婷.宫、腹腔镜在剖宫产瘢痕妊娠治疗中的应用[J].中国微创外科杂志,2012,12(2):112-114.
　Chen Yuqing,Chang Yajie,Feng Shaoting. D.Laparoscopy or Hysteroscopy for Cesarean Scar Pregnancy[J].Chinese Journal of Minimally Invasive Surgery,2012,12(2):112-114.
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宫、腹腔镜在剖宫产瘢痕妊娠治疗中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年2期
页码:
112-114
栏目:
出版日期:
2012-02-25

文章信息/Info

Title:
Laparoscopy or Hysteroscopy for Cesarean Scar Pregnancy
作者:
陈玉清; 常亚杰; 冯劭婷
中山大学附属第一医院妇产科，广州510080
Author(s):
Chen Yuqing;  Chang Yajie;  Feng Shaoting. D
epartment of Gynecology and Obstetrics, First Affiliated Hospital, Sun Yatsen University, Guangzhou 510080, China
关键词:
子宫瘢痕妊娠; 宫腔镜; 腹腔镜
Keywords:
Cesarean scar pregnancy; Hysteroscopy; Laparoscopy
分类号:
R713.8文
文献标志码:
A
摘要:
目的探讨宫、腹腔镜治疗剖宫产瘢痕妊娠（cesarean scar pregnancy，CSP）的可行性及价值。方法回顾性分析2003年1月～2009年11月我院行宫、腹腔镜下CSP病灶切除的10例资料，术前均用甲氨蝶呤（MTX）化疗或子宫动脉栓塞预处理。2例子宫前壁下段内不均质混合性包块向宫外突出，近突破子宫浆膜层，包块直径>3 cm，采用腹腔镜下病灶切除，余8例宫腔镜下病灶切除。结果10例均治疗成功，无并发症发生。术后血βhCG恢复正常时间14～36 d，正常月经来潮时间20～40 d。5例宫腔镜手术者再次妊娠，其中1例再次CSP，行MTX保守治疗治愈。结论宫、腹腔镜下CSP病灶切除，是CSP微创治疗的可行方法。
Abstract:
ObjectiveTo analyze the feasibility and value of hysteroscopy or laparoscopy for the treatment of cesarean scar pregnancy (CSP). MethodsWe retrospectively analyzed the data of 10 cases of CSP who received hysteroscopy or laparoscopy in our hospital since January 2003 to November 2009. Preoperative chemotherapy or uterine artery embolization with MTX were carried out in all the patients. Among the cases, laparoscopy were performed on 2 patients, who had unhomogeneous mixed mass in the anterior lower uterus shown by Bultrasonography; the other 8 patients underwent hysteroscopy. ResultsThe procedures were completed successfully in all the cases without complications. The level of serum βhCG decreased to a normal range in 14 to 36 days postoperation, and the patients recovered normal menses in 20 to 40 days. In the 8 cases of hysteroscopy, 5 patient had pregnancy again, and one of them showed CSP, which was then cured by conservative treatment with MTX. ConclusionHysteroscopic and laparoscopic excision is feasible for CSP.

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更新日期/Last Update: 2013-04-11