瘢痕子宫妊娠处理现状

摘要

In recent years, the high rate of caesarean section results in more women with scarred uterine.A scar pregnancy in contrast to normal pregnancy is more complicated.The early termination of pregnancy has a high risk of wound bleeding and uterine perforation; in the mid or late induction of labor and re-delivery, placenta adherens and trapped placenta are likely to occur.The incision site pregnancy is highly risky of massive hemorrhage and hysterectomy, even life-threatening in some cases.The appropriate management will minimize the risk of cesarean scar pregnancy.%近年来,剖宫产率居高不下,瘢痕子宫的妇女也越来越多.瘢痕子宫妊娠相较正常子宫妊娠存在诸多的并发症,早期终止妊娠有切口出血、子宫穿孔的风险;中晚期引产、再次分娩有子宫破裂、胎盘粘连植入的风险;而切口部位妊娠更是面临大出血、子宫切除的风险,严重者危及生命.选择合适的处理方法,可以将瘢痕子宫妊娠妇女的风险性降到最低.