Progress on diagnosis and treatment of uterine scar pregnancy.docVIP

 PAGE \* MERGEFORMAT 18 Progress on diagnosis and treatment of uterine scar pregnancy [Abstract] uterine scar pregnancy (cesarean scar pregnancy, CSP) is a special type of ectopic pregnancy. Can lead to placenta accreta, uterine rupture, bleeding and even death of patients is a serious complication of long-term after cesarean section . In recent years, the incidence increased significantly, but the lack of treatment for the CSP specification. drug treatment, uterine artery embolization, curettage, laparoscopy surgery, tumor resection, and hysterectomy can be used for treatment of CSP, individualized program choice remains to be further studied. [Keywords:] ectopic pregnancy; uterine scar pregnancy; diagnosis; treatment Uterine scar pregnancy after cesarean section (cesarean scar pregnancy, CSP) is grown in the gravid uterine incision scar of cesarean section, pregnancy in the uterine cavity material completely surrounded by myometrium and fibrous scar tissue surrounded by a A special type of ectopic pregnancy [1]. Can lead to placenta accreta, uterine rupture, bleeding and even death of patients is a serious long-term postoperative complications of cesarean section. 1 Epidemiology In recent years, the incidence of uterine scar pregnancy increased significantly, the current rate has reached 1 / 1800 ~ 1 / 2216, more than the incidence of cervical pregnancy [2]. Jiao case study showed that 28 cases of CSP [3]: CSP ectopic pregnancy accounted for 1.05%, CSP the ratio of 1:1221 with normal pregnancy, the average age of 31.4 years, only one of 26 cases of cesarean section history, from the front time interval of 4 months of pregnancy to 15 years, the most common symptoms of amenorrhea and vaginal bleeding, 17 cases were misdiagnosed as intrauterine pregnancy, 2 cases were misdiagnosed as trophoblastic tumor. 2, etiology, pathology 　 Although the reasons for occurrence of CSP has not yet fully clear, but apparently related to poor wound healing