剖宫产后子宫瘢痕妊娠的研究现状

随着中国二胎政策的放开,越来越多的剖宫产妇女面临着子宫瘢痕妊娠风险。瘢痕妊娠发展到后期可能发生大出血、子宫破裂等严重并发症,故应在疾病早期发现及干预。早期瘢痕妊娠的症状是停经后的阴道出血及腹痛,结合人绒毛膜促性腺激素水平、超声表现、核磁共振成像或宫腔镜等方法可将其确诊并进一步分型。近年来,研究人员重点对瘢痕妊娠发病机制、高危因素及治疗方法进行了探索,复发性瘢痕妊娠的高危因素及诊治也是学者们关注的焦点。...

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Bibliographic Details
Published in国际妇产科学杂志 Vol. 43; no. 1; pp. 99 - 102
Main Author 刘玉洁 宗利丽
Format Journal Article
LanguageChinese
Published 南方医科大学, 广州,501515 2016
Subjects
剖宫产
妊娠,高危
子宫
手术后并发症
瘢痕
子宫
Pregnancy
剖宫产
手术后并发症
Uterus
high-risk
Cicatrix
瘢痕
Cesarean section
Postoperative complications
妊娠,高危
Online AccessGet full text
ISSN1674-1870

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Summary:随着中国二胎政策的放开,越来越多的剖宫产妇女面临着子宫瘢痕妊娠风险。瘢痕妊娠发展到后期可能发生大出血、子宫破裂等严重并发症,故应在疾病早期发现及干预。早期瘢痕妊娠的症状是停经后的阴道出血及腹痛,结合人绒毛膜促性腺激素水平、超声表现、核磁共振成像或宫腔镜等方法可将其确诊并进一步分型。近年来,研究人员重点对瘢痕妊娠发病机制、高危因素及治疗方法进行了探索,复发性瘢痕妊娠的高危因素及诊治也是学者们关注的焦点。
Bibliography:In recent years, China has loosened its decades-long one-child population policy, allowing couples to have two children. Consequently, an increasing number of women who had received cesarean section come across cesarean scar pregnancy（CSP） during their following pregnancies. More concerns should be strengthened by our obstetricians and gynecologists considering the risks of its severe complications, such as hemorrhea and uterine rupture. Two main symptoms of CSP are vaginal bleeding and abdominal pain after amenorrhoea, and it could be diagnosed and further classified by the transvaginal ultrasonography, MRI and hysteroscopy. In recent years, researchers have focused on the pathogenesis, risk factors and new treatment methods of the CSP, which would be introduced in this article. Moreover, the recurrent CSP and its risk factors and treatments would also been identified here.
12-1399/R
LIU Yu-jie , ZONG Li-li. Southern Medical University, Guangzhou 501515, China （LIU Yu-fie） ;Department of Obstetrics and Gynecol
ISSN:1674-1870