What clinical symptom does scar pregnancy have

summary

If you want to avoid scar pregnancy, this situation is not difficult to see, scar pregnancy is very dangerous, may understand the way is not the same, when suspected of scar pregnancy, attention is necessary, diagnosis should be careful, you can ask experienced doctors consultation, vaginal B ultrasound examination, because vaginal B ultrasound is more accurate than abdominal B ultrasound. If it is scar pregnancy, it is recommended to terminate pregnancy, but pregnant women have a strong desire to have children, what are the clinical symptoms of scar pregnancy to tell you.

What clinical symptom does scar pregnancy have

First: the harm of scar pregnancy is great. When it is suspected to be scar pregnancy, it is necessary to pay attention to it, and the diagnosis should be cautious. You can ask an experienced doctor for consultation and carry out vaginal B-ultrasound examination, because the accuracy of vaginal B-ultrasound is higher than abdominal B-ultrasound. In case of scar pregnancy, it is suggested to terminate the pregnancy, but the pregnant woman has a strong desire to have a baby. After 1-2 weeks of observation, we reexamined B ultrasound, ruled out scar pregnancy, and finally delivered at term.

Second: previous history of cesarean section, this pregnancy with irregular vaginal bleeding. Vaginal bleeding is more or less, sometimes sudden bleeding, some no vaginal bleeding. Generally no obvious abdominal pain, or only slight abdominal pain. Asymptomatic patients are easy to miss diagnosis.

Third: B ultrasound is the first choice for the diagnosis of scar pregnancy. B-ultrasound examination is greatly influenced by the experience of doctors, which may be missed diagnosis or misdiagnosis. At present, due to the attention of doctors, missed diagnosis is rare, and misdiagnosis is increasing. The so-called misdiagnosis is to treat the pregnancy with gestational sac close to the cervix as scar pregnancy, resulting in unnecessary treatment. When scar pregnancy is suspected, it is necessary to pay attention to it, and the diagnosis should be cautious. You can ask an experienced doctor for consultation and carry out vaginal B-ultrasound examination, because the accuracy of vaginal B-ultrasound is higher than abdominal B-ultrasound. If it is not sure, MRI examination is feasible. MRI examination is clearer than B-ultrasound examination, but the price is high. When the diagnosis is not clear, dynamic B-ultrasound monitoring is reasonable. With the increase of gestational sac and uterine volume, the diagnosis is more accurate. We have seen many cases of scar pregnancy diagnosed in other hospitals, and it is suggested to terminate the pregnancy, but the pregnant women have a strong desire to give birth. We give observation for 1-2 weeks and then review B-ultrasound, excluding scar pregnancy, and finally full-term delivery. We think that when B ultrasound suspected scar, attention is necessary, can not be diagnosed, do not rush to deal with.

matters needing attention

1. Drug therapy methotrexate and mifepristone are commonly used drugs at present. The purpose is to stop the development of embryo and decrease the blood supply of placenta, so as to reduce the bleeding in medical abortion or operation. Methotrexate is a kind of chemotherapy drug with many side effects, which can lead to severe bone marrow suppression. We tend to use mifepristone plus traditional Chinese medicine for treatment. After 1-2 weeks of use, most embryos stop developing and the blood supply of placental site is significantly reduced. Then misoprostol is used for abortion or curettage. Most of them are successful with low cost and small trauma. 2. Uterine artery embolization (UAE) is a kind of interventional therapy. Unilateral or bilateral UAE is performed through femoral artery, and curettage is performed after embolization. The cost of this method is high, the side effects of embolization are many, and the timing of curettage is not easy to grasp. 3. Surgical treatment through open surgery or minimally invasive surgery: local lesion resection + uterine repair, if necessary + hysterectomy. Surgical treatment is safe and effective, but it is traumatic and expensive, so it should not be the first choice, it can only be used as a supplement to other methods.