Parts of the uterus after cesarean section scar analysis of 4 cases of pregnancy.docVIP

Parts of the uterus after cesarean section scar analysis of 4 cases of pregnancy.doc

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Parts of the uterus after cesarean section scar analysis of 4 cases of pregnancy

 PAGE \* MERGEFORMAT 7 Parts of the uterus after cesarean section scar analysis of 4 cases of pregnancy [Keywords:] cesarean section scar; pregnancy complications Department of uterine scar after cesarean section cesarean section scar pregnancy referred to the Department of pregnancy (cesarean scar preancy, CSP), is one of long-term complications after cesarean section, clinical rare. But with the cesarean section rate in recent years rising, the trend of increasing incidence. The disease can cause uterine rupture, intra-abdominal bleeding, clinical misdiagnosed as incomplete abortion, cervical pregnancy and so on. our hospital since June 2003 ~ August 2008 were treated in such cases, 4 cases are reviewed as follows. Clinical data 1. General Information Review June 2003 ~ August 2008 in our hospital cesarean section scar in 4 cases the clinical data of patients in early pregnancy, age 23 to 38 years, mean 31 years old. Have a history of 1 cesarean section, cesarean section methods are the lower uterine segment transverse incision. caesarean section to the onset of 1 year minimum, up to 10 years, an average of 5 years. patients were unintentional, lung, liver, kidney and other chronic diseases, menopause .4 patients had the history of menopause, the shortest 50 days, the longest 62 days, an average of 57 days. postmenopausal 1 case a small amount of vaginal bleeding, vaginal bleeding after menopause 40 to 62 days, 1 patient had sudden massive vaginal bleeding, vaginal bleeding after menopause 52 days .4 2 cases of vaginal bleeding patients without clinical diagnosis of only 2 cases to consider “the uterus scar pregnancy”, the other 2 cases were misdiagnosed as “incomplete abortion” and “intrauterine pregnancy.” 2. Auxiliary examination 4 patients underwent abdominal ultrasonography, were prompted to see the lower anterior uterine pregnancy sac or hyperechoic mass in the size of about 2.0 cm 1.98 cm ~ 5.4 cm 5.7 cm range, urine HCG was posi

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