巨块型剖宫产瘢痕处绒毛植入1例并文献复习

Giant Chorionic Villus Implantation at the Scar of Cesarean Section: A Case Report and Literature Analysis

摘要: 随着目前剖宫产率越来越高，剖宫产术后并发症，如瘢痕妊娠的发生率随之升高，进而导致剖宫产瘢痕处绒毛植入的发生逐年增多。绒毛植入是多种原因引起绒毛在子宫肌层附着较深或过深并植入子宫肌层，是一种较少见但具有严重不良后果的妊娠早期并发症。本文报道1例巨块型剖宫产瘢痕处绒毛植入的患者，结合文献进行分析，为临床上巨块型剖宫产瘢痕处绒毛植入的患者的诊疗提供了临床依据。

Abstract: With the increasing rate of cesarean section, the incidence of postoperative complications such as scar pregnancy increases, which in turn leads to an increase in the occurrence of villus implantation in the scar of cesarean section. Villus implantation is a rare complication of the first trimester of pregnancy with serious adverse consequences that causes villi to attach deeply or too deeply to the myometrium and implant them in the myometrium for a variety of reasons. This article reports a patient with chorionic villus implantation at the scar of giant cesarean section, and analyzes the literature to provide a clinical basis for the diagnosis and treatment of patients with chorionic villus implantation at the scar of giant mass cesarean section.