|
|
剖宫产瘢痕妊娠在影像学诊治中的研究现状
|
Abstract:
由于生育政策的改变，既往剖宫产女性将面临瘢痕妊娠危险。如不早期诊断及时处理，可致大出血、子宫破裂、切除子宫，从而导致妇女丧失生育能力甚至死亡等严重并发症的发生，亦或致过度医疗。故早期诊断并及时采取精准的处理方案是治疗瘢痕妊娠的关键，而影像学检查为其提供重要依据。
Due to changes in fertility policies, women who have previously undergone cesarean section will face the risk of scar pregnancy. Without early diagnosis and timely treatment, it can lead to massive bleeding, uterine rupture, hysterectomy, leading to severe complications such as women’s loss of fertility or even death, or excessive medical treatment. Therefore, early diagnosis and timely and accurate treatment are the key to the treatment of scar pregnancy, and imaging examination pro-vides an important basis for it.
| [1] | 中华医学会计划生育学分会. 剖宫产瘢痕妊娠诊断与治疗共识[J]. 中华医学杂志, 2012, 92(25): 622-624. |
| [2] | 中华医学会妇产科学分会计划生育学组. 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, 51(8): 568-572. |
| [3] | Society for Maternal-Fetal Medicin (SMFM), Miller, R., Timor-Tritsch, I.E. and Gyam-fi-Bannerman, C. (2020) Society for Maternal-Fetal Medicin (SMFM) Consult Series#49: Cesarean Scar Pregnancy. American Journal of Obstetrics & Gynecology, 222, B2-B14. https://doi.org/10.1016/j.ajog.2020.01.030 |
| [4] | American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine (2018) Obstetric Care Consensus No. 7: Placenta Accreta Spectrum. Obstetrics & Gynecol-ogy, 132, e259-e275.
https://doi.org/10.1097/AOG.0000000000002983 |
| [5] | Lumbiganon, P., Laopaiboon, M., Gülmezoglu, A.M., et al. (2010) Method of Delivery and Pregnancy Outcomes in Asia: The WHO Global Survey on Maternal and Perinatal Health 2007-08. Lancet, 375, 490-499.
https://doi.org/10.1016/S0140-6736(09)61870-5 |
| [6] | 欧阳振波, 黄志霞, 张秋实. 剖宫产瘢痕妊娠的个性化综合治疗[J]. 妇产与遗传(电子版), 2016, 6(3): 7-10. |
| [7] | 欧阳振波, 尹倩, 全松, 等. 复发性剖宫产瘢痕妊娠的诊断与治疗[J]. 现代妇产科进展, 2016, 25(10): 754-757. |
| [8] | 李胜利. 胎儿畸形产前超声诊断学[M]. 北京: 人民军医出版社, 2007. |
| [9] | Carter, A.M. (2020) Classics Revisited: Anna Reinstein-Mogilowa’s Observaijons on Uterine g1ands and the Cytotrophoblastic Shell in the First Trimester of Human Pregnancy. Placenta, 89, 88-90.
https://doi.org/10.1016/j.placenta.2019.11.001 |
| [10] | Timor-Tritsch, I.E., Monteagudo, A., Calì, G., D’Antonio, F. and Agten, A.K. (2019) Cesarean Scar Pregnancy: Diagnosis and Pathogenesis. Obstetrics and Gynecology Clinics, 46, 797-811. https://doi.org/10.1016/j.ogc.2019.07.009 |
| [11] | Einenkel, J., Stumpp, P., K？sling, S., Horn, L.C. and H？ckel, M. (2005) A Misdiagnosed Case of Caesarean Scar Pregnancy. Archives of Gynecology and Obstetrics, 271, 178-181. https://doi.org/10.1007/s00404-004-0683-1 |
| [12] | Shih, J.-C. (2004) Cesarean Sear Pregnancy: Diagnosis with Three-Dimensional (3D) Ultrasound and 3D Power Doppler. Ultrasound in Obstetrics & Gynecology, 23, 306-307. https://doi.org/10.1002/uog.1000 |
| [13] | Vial, Y., Petignat, P. and Hohlfeld, P. (2000) Pregnancy in a Cesarean Scar. Ultrasound in Obstetrics & Gynecology, 16, 592-593. https://doi.org/10.1046/j.1469-0705.2000.00300-2.x |
| [14] | Qian, Z.-D., Guo, Q.-Y. and Huang, L.-L. (2014) Iden-tifying Risk Factors for Recurrent Cesarean Scar Pregnancy: A Case-Control Study. Fertility and Sterility, 102, 129-134. https://doi.org/10.1016/j.fertnstert.2014.04.003 |
| [15] | Naji, O., Daemen, A., Smith, A., et al. (2012) Does the Pres-ence of a Cesarean Section Scar Influence the Site of Placental Implantation and Subsequent Migration in Future Preg-nancies: A Prospective Case-Control Study. Ultrasound in Obstetrics & Gynecology, 40, 557-561. https://doi.org/10.1002/uog.11133 |
| [16] | Bulletti, C. and de Ziegler, D. (2005) Uterine Contractility and Embryo Im-plantation. Current Opinion in Obstetrics and Gynecology, 17, 265-276. https://doi.org/10.1097/01.gco.0000169104.85128.0e |
| [17] | Ben-Nagi, J., Walker, A., Jurkovic, D., Yazbek, J. and Aplin, J.D. (2009) Effect of Cesarean Delivery on the Endometrium. International Journal of Gynecology & Obstetrics, 106, 30-34. https://doi.org/10.1016/j.ijgo.2009.02.019 |
| [18] | Regnard, C., Nosbusch, M., Fellemans, C., et al. (2004) Cesarean Section Scar Evaluation by Saline Contrast Sonohysterography. Ultrasound in Obstetrics & Gynecology, 23, 289-292. https://doi.org/10.1002/uog.999 |
| [19] | Bij de Vaate, A.J.M., van der Voet, L.F., Naji, O., et al. (2014) Prevalence, Potential Risk Factors for Development and Symptoms Related to the Presence of Uterine Niches Following Cesarean Section: Systematic Review. Ultrasound in Obstetrics & Gynecology, 43, 372-382. https://doi.org/10.1002/uog.13199 |
| [20] | Riaz, R.M., Williams, T.R., Craig, B.M. and Myers, D.T. (2015) Cesarean Scar Ectopic Pregnancy: Imaging Features, Current Treatment Options, and Clinical Outcomes. Abdominal Imaging, 40, 2589-2599.
https://doi.org/10.1007/s00261-015-0472-2 |
| [21] | Rotas, M.A., Haberman, S. and Levgur, M. (2006) Caesarean Scar Ectopic Pregnancies: Etiology, Diagnosis and Management. Obstetrics & Gynecology, 107, 1373-1381. https://doi.org/10.1097/01.AOG.0000218690.24494.ce |
| [22] | 金力, 范光升, 郎景和. 剖宫产术后瘢痕妊娠的早期诊断与治疗[J]. 生殖与避孕, 2005, 25(10): 630-634. |
| [23] | 李莉(综述), 李永强(审校). 剖宫产术后子宫切口瘢痕妊娠的诊治新进展[J]. 医学综述, 2012, 18(9), 1346-1349. |
| [24] | 王满芬. 探讨二维超声联合三维超声显像技术对剖宫产瘢痕妊娠(CSP)的鉴别诊断价值[J]. 影像研究与医学应用, 202l, 5(6): 138-139. |
| [25] | Timor-Tritsch, I.E., Monteagudo, A., Santos, R., et al. (2012) The Diagnosis, Treatment, and Follow-up of Cesarean Scar Pregnancy. Amer-ican Journal of Obstetrics & Gynecology, 207, 44.e1-44.e13.
https://doi.org/10.1016/j.ajog.2012.04.018 |
| [26] | Naji, O., Wynants, L., Smith, A., et al. (2013) Does the Presence of a Caesarean Section Scar Affect Implantation Site and Early Pregnancy Outcome in Women Attending an Early Preg-nancy Assessment Unit? Human Reproduction, 28, 1489-1496. https://doi.org/10.1093/humrep/det110 |
| [27] | 周小娟, 蒋晓敏. 超声测量最小矢状肌厚度在诊治剖宫产瘢痕妊娠中的应用价值[J]. 医学研究杂志, 2021, 50(6): 106-110. |
| [28] | 严静, 楼叶琳, 陈静婉, 徐琛. 多途径超声联合检查用于剖宫产子宫瘢痕妊娠分型诊断的临床观察[J]. 中华全科医学, 202l, 19(3): 463-465, 475. |
| [29] | 黄丽华. 剖宫产瘢痕妊娠MRT信号特点及临床诊治价值研究[J]. 中国CT和MRI杂志, 2021, 19(10): 127-129. |
| [30] | Peng, K.-W., Lei, Z., Xiao, T.-H., et al. (2014) First Tri-mester Caesarean Scar Ectopic Pregnancy Evaluation Using MRI. Clinical Radiology, 69, 123-129. https://doi.org/10.1016/j.crad.2013.07.021 |
| [31] | Kumar, I., Verma, A., Matah, M. and Satpathy, G. (2017) Utility of Multiparametric MRI in Caesarean Section Scar Characterization and Preoperative Prediction of Scar Dehiscence: A Prospective Study. Acta Radiologica, 58, 890-896.
https://doi.org/10.1177/0284185116675659 |
| [32] | 王亚, 郑晓林, 王强, 等. 瘢痕妊娠MRI表现及对临床分型的价值[J]. 临床放射学杂志, 2019, 38(8): 1463-1467. |
| [33] | 孟砺实, 严建春, 郑君, 蔡成君. 磁共振在诊治剖宫产子宫疤痕妊娠中的价值[J]. 中国CT和MRI杂志, 2015, 13(6): 62-64. |
| [34] | Liu, L., Ross, W.T., Chu, A.L. and Deimling, T.A. (2020) An Updated Guide to the Diagnosis and Management of Cesarean Scar Pregnancies. Current Opinion in Obstetrics and Gynecology, 32, 255-262.
https://doi.org/10.1097/GCO.0000000000000644 |
| [35] | Xiao, X., Ding, R., Peng, L., Liu, H. and Zhu, Y. (2021) Diagnostic Performance of Magnetic Resonance Imaging and Ultrasonography on the Detection of Cesarean Scar Preg-nancy: A Meta-Analysis. Medicine, 100, e27532.
https://doi.org/10.1097/MD.0000000000027532 |
| [36] | 张弦, 代敏, 严志汉, 等. MRI对剖宫产子宫瘢痕妊娠的影像分析[J]. 实用放射学杂志, 2011, 27(9): 1380-1382. |
| [37] | 钟碧婷, 吴嘉雯, 欧阳振波, 张秋实. 剖宫产瘢痕妊娠的分型及其与治疗的相关性[J]. 现代妇产科发展, 2020, 29(1): 68-70. |
| [38] | 金力, 陈蔚琳, 周应芳. 剖宫产术后子宫瘢痕妊娠诊治专家共识(2016) [J]. 全科医学临床与教育, 2017, 15(1): 5-9. |
| [39] | 向阳. 关于剖宫产瘢痕妊娠的分型与治疗方法的选择[J]. 中国妇产科临床杂志, 2012, 13(6): 401-404. |
| [40] | 康彦君, 班艳丽, 张腾, 等. 子宫瘢痕妊娠实用临床分型及应用价值探讨[J]. 现代妇产科进展, 2019, 28(10): 731-735. |
| [41] | Du, Q., Liu, G. and Zhao, W. (2020) A Novel Method for Typing of Cesarean Scar Pregnancy Based on Size of Cesarean Scar Diverticulum and Its Significance in Clinical Decision-Making. Journal of Obstetrics and Gynaecology Research, 46, 707-714. https://doi.org/10.1111/jog.14226 |
| [42] | 陈笑露, 吴正强, 郑飞. 米非司酮联合清宫术治疗I型剖宫产瘢痕妊娠的疗效及安全性[J]. 中国妇幼保健, 2020, 35(15): 2899-2901. |
| [43] | Altay, M.M., Mert, S.A., Gemici, A., et al. (2019) Successful Technique of Manual Vacuum Aspiration for Treatment of Type 2 Cesarean Scar Pregnancies: Evaluation of 40 Cases. The Journal of Maternal-Fetal & Neonatal Medicine, 34, 2693-2700. https://doi.org/10.1080/14767058.2019.1670807 |
| [44] | 陈正云, 李小永, 等. 宫腔镜手术终止早期Ⅱ型剖宫产术后子宫瘢痕妊娠的临床研究[J]. 中华妇产科杂志, 2017, 52(10): 669-674. |
