[1]范俊,栾少红,李婧,等.经阴道或经腹腔镜手术治疗剖宫产瘢痕妊娠 40例经验分析[J].中国计划生育和妇产科,2018,(2):38-41.
 FAN Jun,LUAN Shao-hong,LI Jing,et al.Clinical analysis of 40 cases of cesarean scar pregnancy treated by transvaginal or laparoscopic surgery[J].Chinese Journal of Family Planning & Gynecotokology,2018,(2):38-41.
点击复制

经阴道或经腹腔镜手术治疗剖宫产瘢痕妊娠 40例经验分析
分享到:

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年2期
页码:
38-41
栏目:
论著与临床
出版日期:
2018-02-25

文章信息/Info

Title:
Clinical analysis of 40 cases of cesarean scar pregnancy treated by transvaginal or laparoscopic surgery
作者:
范俊栾少红李婧秦文娜安志洁陈龙*
青岛大学医学院附属青岛市市立医院妇科
Author(s):
FAN JunLUAN Shao-hongLI JingQIN Wen-naAN Zhi-jieCHEN Long*
Department of Gynecology,Qingdao Municipal Hospital Affiliated Medical College of Qingdao University,Qingdao Shandong 266071,P.R.China
关键词:
剖宫产瘢痕妊娠阴道手术腹腔镜手术
Keywords:
cesarean scar pregnancy transvaginal surgerylaparoscopic surgery
分类号:
R 714.22
摘要:
目的总结经阴道或腹腔镜手术治疗剖宫产瘢痕妊娠(cesarean scar pregnancy, CSP)两种手术方式的不同适应证。方法回顾性分析青岛市市立医院2014年6月至2016年12月经阴道或经腹腔镜手术治疗的40例CSP患者病历资料, 13例经阴道手术为研究组,27例经腹腔镜手术为对照组。比较两组的手术时间、术中出血量、术后住院时间、血β-人绒毛膜促性腺激素(β-human chorionic gonadotropin,β-hCG)降至正常的时间及住院费用等。结果两组患者出血量、术后血β-hCG降
Abstract:
ObjectiveTo summarize the experiences of 40 cases of cesarean scar pregnancy who underwent transvaginal surgery or laparoscopic surgery, and to explore the different indications of the two surgical approaches. MethodsThe data of 40 cases of cesarean scar

参考文献/References:

[1]中华医学会计划生育学组.剖宫产术后子宫瘢痕妊娠诊治专家共识(2016) [J].中华妇产科杂志,2016,92(25):1731-1733. [2]BOZA A, BOZA B, API M. Cesarean scar pregnancy managed with conservative treatment [J]. Iran J Med Sci September, 2016, 41(5): 450-455. [3]蔡有芹,张昕蕾,张军.腹腔镜间断褥式内翻缝合法治疗Ⅱ型剖宫产瘢痕妊娠15 例 [J].中国微创外科杂志,2016,16(11):987-989. [4]陈正云,赵立,阿斯燕·努斯拉提,等.剖宫产术后子宫瘢痕妊娠实施子宫病灶切除术的临床对比分析 [J].中华妇产科杂志,2017,52(2):98-102. [5]FUCHS N, MANOUCHERI E, VERBAAN M, et al. Laparoscopic management of extrauterine pregnancy in caesarean section scar: description of a surgical technique and review of the literature [J]. BJOG-An International Journal of Obstetrics and Gynaecology, 2015, 122(1): 137-140. [6]LEE C L, WANG C-j, CHAO A, et al. Laparoscopic management of all ec-topic pregnancy in a previous caesarean section scar [J]. Human Reproduction, 1999, 14(5): 1234-1236. [7]ZHANG Ying, DUAN Hua, CHENG Jiu-mei, et al. Treatment options to terminate persistent cesarean scar pregnancy [J]. Gynecologic and Obstetric Investigation, 2013, 75(2): 115-119. [8]WANG Y-l, SU T-h, CHEN H-s. Operative laparoscopy for unruptured ectopic pregnancy in a caesarean scar [J]. BJOG-An International Journal of Obstetrics and Gynaecology, 2006, 113(9): 1035-1038. [9]林安平,杨竹,蒋兴伟,等.剖宫产瘢痕妊娠临床分型与腹腔镜手术方式的探讨 [J].实用妇产科杂志,2014,30(4):266-269. [10]KANG S, PARK B, KIM Y, et al. Surgical management of caesarean scar ectopic pregnancy:hysterectomy by transvaginal approach [J]. Fertility and Sterility, 2011, 96(1): e25-e28. [11]万筱慧,黄汇明.经阴道手术治疗剖宫产术后子宫瘢痕部位妊娠 [J].中国现代手术学杂志,2013,17(5):386-388. [12]HUANXIAO Zhang, SHUQIN Chen, HONGYE Jiang, et al. Transvaginal hysterotomy for cesarean scar pregnancy in 40 consecutive cases [J]. Gynecological Surgery, 2015, 12(1): 45-51. [13]ZHANG Hui, SHI Jun-rong, YANG Yong-an, et al. Transvaginal surgical management of cesarean scar pregnancy II (CSP-II): an analysis of 25 cases [J]. Medical Science Monitor, 2015, 21: 3320-3326. [14]魏华,王晓雯,凌晟荣,等.经阴道手术治疗剖宫产瘢痕妊娠失败原因分析 [J].中国现代手术学杂志,2016,20(5):382-384. [15]徐筱芬,廖育新,黄瑞莲.经阴道手术对产妇剖宫产后子宫瘢痕妊娠的应用实效性及安全性探究 [J].中国医学创新,2015,12(11):143-145. [16]黄小敏,柳晓春,郑玉华,等.经阴道手术治疗剖宫产术后子宫瘢痕部位妊娠58例临床分析 [J].现代医院,2015,15(9):45-50. [17]CHEN Yu-qing, LIU Hua-shan, LI Wen-xin, et al. Efficacy of transvaginal debridement and repair surgery for cesarean scar pregnancy: a cohort study compared with uterine artery embolism [J]. International Journal of Clinical and Experimental Medicine, 2015, 8(11): 21187-21193. [18]肖水秀,单莉莉,乐爱文,等.经阴道手术治疗剖宫产瘢痕妊娠失败的经验分析 [J].中国微创外科杂志,2016,16(5):432-435. [19]石军荣,秦金金,王伟明,等.剖宫产术后子宫瘢痕妊娠57例临床研究 [J].中华妇产科杂志,2014,49(1):18-21.

相似文献/References:

[1]于晓兰.剖宫产瘢痕妊娠的病理特点[J].中国计划生育和妇产科,2013,(04):0.
 YU Xiao-lan.[J].Chinese Journal of Family Planning & Gynecotokology,2013,(2):0.
[2]董海伟,杨晓惠,顾向应,等.超声诊断技术在剖宫产瘢痕妊娠中的应用[J].中国计划生育和妇产科,2013,(04):0.
 DONG Hai-wei,YANG Xiao-hui,GU Xiang-ying *.[J].Chinese Journal of Family Planning & Gynecotokology,2013,(2):0.
[3]王运昌,陈梅,张周龙,等.超声在剖宫产瘢痕妊娠诊断及治疗中的应用价值[J].中国计划生育和妇产科,2014,(04):0.
 WANG Yun-chang,CHEN Mei,ZHANG Zhou-long,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2014,(2):0.
[4]张天宏,史小雨,冯力民,等.宫腹腔镜在剖宫产瘢痕妊娠诊治中的应用[J].中国计划生育和妇产科,2015,(10):0.
[5]刘彩霞,郭宝枝,刘爱珍,等.腹腔镜治疗剖宫产瘢痕妊娠术中中转开腹手术原因分析[J].中国计划生育和妇产科,2015,(11):0.
 LIU Cai-xia,GUO Bao-zhi,LIU Ai-zhen,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2015,(2):0.
[6]闻人昉,熊小娟,丁兴琳,等.剖宫产瘢痕妊娠介入治疗医疗费用特征分析[J].中国计划生育和妇产科,2016,(02):0.
 WEN Ren-fang,XIONG Xiao-juan,DIN Xing-lin,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2016,(2):0.
[7]石一复,郝敏,李娟清,等.7所医学院校附属医院2010~2014年正常和异常妊娠浅析[J].中国计划生育和妇产科,2016,(06):0.
 SHI Yi-fu,HAO Min,LI Juan-qing,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2016,(2):0.
[8]王新波,谢玉翠,王来栋,等.3种方案用于剖宫产瘢痕妊娠药物治疗大出血的对比观察[J].中国计划生育和妇产科,2016,(11):0.
 WANG Xin-Bo,XIE Yu-Cui,WANG Lai-Dong,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2016,(2):0.
[9]石一复*,郝敏,李娟清,等.7所医学院校附属医院2010~2014年正常和 异常妊娠浅析[J].中国计划生育和妇产科,2016,(6):6.
 SHI Yi-fu*,HAO Min,LI Juan-qing,et al.Analysis of normal and abnormal pregnancies in 7 affiliated hospitals of medical colleges between 2010 and 2014[J].Chinese Journal of Family Planning & Gynecotokology,2016,(2):6.
[10]韩艳*,张俊娣,杨露.子宫动脉栓塞术对剖宫产瘢痕妊娠清宫效果的影响及安全性[J].中国计划生育和妇产科,2017,(2):29.
 HAN Yan*,ZHANG Jun-di,YANG Lu.Effect of uterine arterial embolization on the effect of uterus clearing of cesarean section scar pregnancy and its safety[J].Chinese Journal of Family Planning & Gynecotokology,2017,(2):29.

更新日期/Last Update: 2018-02-25