早孕期剖宫产瘢痕妊娠临床特点研究

doi:10.3969/j.issn.1006-7795.2019.03.023

首都医科大学学报 ›› 2019, Vol. 40 ›› Issue (3): 449-453.doi: 10.3969/j.issn.1006-7795.2019.03.023

早孕期剖宫产瘢痕妊娠临床特点研究

罗岚蓉, 李长东, 李坚

首都医科大学附属北京妇产医院生殖调节科, 北京 100006

收稿日期:2018-11-08 出版日期:2019-05-21 发布日期:2019-06-13
通讯作者: 李坚 E-mail:lijian02@Hotmail.com
基金资助:
北京市科学技术委员会首都市民健康项目培育（Z131100006813034）。

Clinical features for cesarean scar pregnancy of first trimester: a retrospective case-control study

Luo Lanrong, Li Changdong, Li Jian

Department of Reproductive Management, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China

Received:2018-11-08 Online:2019-05-21 Published:2019-06-13
Supported by:
This study was supported by Beijing Municipal Science and Technology Commission,Capital Citizens Health Cultivation Project (Z131100006813034).

摘要/Abstract

摘要： 目的研究早孕期剖宫产瘢痕妊娠（cesarean scar pregnancy，CSP）的临床特点。方法采用回顾性病例对照研究方法，选取2014至2016年的206例早孕期CSP患者作为研究组，按照1：2的比例选取412例正常宫内早孕者作为对照组，比较两组研究对象此次妊娠的临床数据资料。结果与早孕期剖宫产瘢痕妊娠高度相关的临床特点为：①阴道流血（OR：10.38，95%CI：6.59~16.35）；②腹痛（OR：3.91，95%CI：1.74~8.81）；③子宫压痛（OR：2.38，95%CI：1.49~3.82）。结论剖宫产再孕，妊娠早期出现阴道流血、腹痛和子宫压痛等症状体征，要警惕CSP，尤其是阴道流血。

关键词: 剖宫产瘢痕妊娠, 临床特点, 阴道流血

Abstract: Objective To study the clinical features of cesarean scar pregnancy(CSP)of first trimester. Methods Study group 206 CSP patients of first trimester diagnosed during the defined time span 2014-2016, were compared with a randomly selected control group of 412 patients according to 1:2 ratio. The clinical data of study and control group were compared.Results Clinical features highly correlated with CSP were:① vaginal bleeding (OR:10.38; 95%CI:6.59-16.35); ②abdominal pain (OR:3.91; 95%CI:1.74-8.81); ③uterine tenderness (OR:2.38; 95%CI:1.49-3.82). Conclusion For pregnant women with a history of cesarean section, vaginal bleeding, abdominal pain and uterine tenderness of first trimester maybe the signal of CSP and need to make caution, especially vaginal bleeding.

Key words: cesarean scar pregnancy, clinical features, vaginal bleeding

中图分类号:

R711

罗岚蓉, 李长东, 李坚. 早孕期剖宫产瘢痕妊娠临床特点研究[J]. 首都医科大学学报, 2019, 40(3): 449-453.

Luo Lanrong, Li Changdong, Li Jian. Clinical features for cesarean scar pregnancy of first trimester: a retrospective case-control study[J]. Journal of Capital Medical University, 2019, 40(3): 449-453.

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早孕期剖宫产瘢痕妊娠临床特点研究

Clinical features for cesarean scar pregnancy of first trimester: a retrospective case-control study

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