\u4f5c\u8005\uff1a\u6b27\u9633\u632f\u6ce2\uff0c\u7f57\u51e4\u519b\uff0c\u949f\u78a7\u5a77\uff0c\u5434\u5609\u96ef<\/p>\n
\uff08\u5e7f\u4e1c\u7701\u7b2c\u4e8c\u4eba\u6c11\u533b\u9662\u5987\u79d1\uff09<\/p>\n
\u6765\u6e90\uff1a\u300a\u73b0\u4ee3\u5987\u4ea7\u79d1\u8fdb\u5c55\u300b2021\u5e74\u7b2c30\u5377\u7b2c1\u671f54-57,64<\/p>\n
\u5256\u5bab\u4ea7\u7622\u75d5\u598a\u5a20\uff08cesarean scar pregnancy\uff0cCSP\uff09\u662f\u6307\u53d7\u7cbe\u5375\u7740\u5e8a\u79cd\u690d\u5728\u5b50\u5bab\u5256\u5bab\u4ea7\u7622\u75d5\u5904\u7684\u4e00\u79cd\u5c11\u89c1\u5f02\u4f4d\u598a\u5a20\uff3b1-2\uff3d<\/sup>\u3002\u5256\u5bab\u4ea7\u7622\u75d5\u5904\u7684\u5b50\u5bab\u808c\u5c42\u83f2\u8584\u3001\u7622\u75d5\u7ec4\u7ec7\u6536\u7f29\u529b\u5dee\uff0c\u968f\u7740\u5b55\u5468\u7684\u589e\u52a0\uff0c\u5e38\u4f1a\u51fa\u73b0\u5b50\u5bab\u7834\u88c2\u3001\u5927\u51fa\u8840\uff0c\u751a\u81f3\u5371\u53ca\u751f\u547d\u7b49\u4e25\u91cd\u5e76\u53d1\u75c7\uff3b3-4\uff3d<\/sup>\u3002\u5373\u4f7f\u5c11\u6570\u6210\u529f\u598a\u5a20\u81f3\u5b55\u665a\u671f\u8005\uff0c\u4e5f\u591a\u4f34\u6709\u80ce\u76d8\u690d\u5165\u53ca\u51f6\u9669\u6027\u524d\u7f6e\u80ce\u76d8\u7b49\u4e25\u91cd\u5e76\u53d1\u75c7\uff3b5-6\uff3d<\/sup>\u3002\u9274\u4e8eCSP\u7684\u9ad8\u98ce\u9669\u6027\uff0c\u5176\u9010\u6e10\u53d7\u5230\u4eba\u4eec\u7684\u91cd\u89c6\u3002CSP\u7684\u53d1\u75c5\u7387\u4f4e\uff0c\u96be\u4ee5\u5f00\u5c55\u968f\u673a\u5bf9\u7167\u7814\u7a76\uff0c\u56e0\u6b64\u76ee\u524d\u5c1a\u4e0d\u660e\u786e\u5176\u6700\u4f73\u7684\u6cbb\u7597\u65b9\u6848\uff3b7-8\uff3d\u3002<\/p>\n \u4e3a\u89c4\u8303CSP\u7684\u8bca\u6cbb\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u4e8e2012\u5e74\u53d1\u5e03\u4e86\u300a\u5256\u5bab\u4ea7\u7622\u75d5\u598a\u5a20\u8bca\u65ad\u548c\u6cbb\u7597\u5171\u8bc6\u300b\uff08\u4ee5\u4e0b\u7b80\u79f02012\u5e74\u5171\u8bc6\uff09\uff3b2\uff3d<\/sup>\uff0c\u540e\u901a\u8fc7\u5bf9\u5176\u66f4\u65b0\uff0c\u4e8e2016\u5e74\u53d1\u5e03\u4e86\u300a\u5256\u5bab\u4ea7\u672f\u540e\u5b50\u5bab\u7622\u75d5\u598a\u5a20\u8bca\u6cbb\u4e13\u5bb6\u5171\u8bc6\uff082016\uff09\u300b\uff08\u4ee5\u4e0b\u7b80\u79f02016\u5e74\u5171\u8bc6\uff09\uff3b1\uff3d<\/sup>\u3002<\/p>\n 2020\u5e74\u7f8e\u56fd\u6bcd\u80ce\u533b\u5b66\u4f1a\uff08Society for Maternal-Fetal Medi-cine\uff0cSMFM\uff09\u6839\u636e\u5bf9\u73b0\u6709\u6587\u732e\u7684\u603b\u7ed3\u5206\u6790\uff0c\u5236\u5b9a\u4e86\u300a\u5256\u5bab\u4ea7\u7622\u75d5\u598a\u5a20\u300b\u6307\u5357\uff08\u4ee5\u4e0b\u7b80\u79f0SMFM\u6307\u5357\uff09\uff3b9\uff3d<\/sup>\u3002\u8be5\u6307\u5357\u540c\u65f6\u5f97\u5230\u7f8e\u56fd\u5987\u4ea7\u79d1\u534f\u4f1a\uff08ACOG\uff09\u3001\u7f8e\u56fd\u8d85\u58f0\u533b\u5b66\u7814\u7a76\u6240\uff08AIUM\uff09\u53ca\u8ba1\u5212\u751f\u80b2\u5b66\u4f1a\uff08SFP\uff09\u7684\u6279\u51c6\uff3b9\uff3d<\/sup>\u3002\u4e3a\u4fc3\u8fdbCSP\u7684\u5408\u7406\u8bca\u6cbb\uff0c\u73b0\u5bf9\u4ee5\u4e0a\u5171\u8bc6\u53ca\u6307\u5357\u8fdb\u884c\u89e3\u8bfb\u3002<\/p>\n CSP\u7684\u5b9a\u4e49\u53ca\u53d1\u75c5\u7387<\/p>\n CSP\u7684\u57fa\u672c\u5b9a\u4e49\u76ee\u524d\u5c1a\u65e0\u4e89\u8bae\uff0c\u662f\u6307\u53d7\u7cbe\u5375\u7740\u5e8a\u4e8e\u524d\u6b21\u5256\u5bab\u4ea7\u5b50\u5bab\u5207\u53e3\u7622\u75d5\u5904\u7684\u4e00\u79cd\u7279\u6b8a\u598a\u5a20\uff3b1-2\uff0c9\uff3d<\/sup>\u3002<\/p>\n 2016\u5e74\u5171\u8bc6\u4e2d\u5f3a\u8c03CSP\u662f\u4e00\u79cd\u9650\u65f6\u5b9a\u4e49\uff0c\u4ec5\u9650\u4e8e\u65e9\u5b55\u671f\uff08\u226412\u5468\uff09\uff3b1\uff3d<\/sup>\u30022012\u5e74\u53ca2016\u5e74\u5171\u8bc6\u4e2d\u90fd\u660e\u786e\u6307\u51faCSP\u5c5e\u4e8e\u5f02\u4f4d\u598a\u5a20\uff0c\u4f46SMFM\u6307\u5357\u4e2d\u5374\u6307\u51faCSP\u4f4d\u4e8e\u5b50\u5bab\u8154\u5185\uff0c\u4e0e\u771f\u6b63\u7684\u5f02\u4f4d\u598a\u5a20\u4e0d\u540c\uff0c\u5b83\u53ef\u80fd\u83b7\u5f97\u6d3b\u4ea7\uff3b9\uff3d<\/sup>\u3002<\/p>\n \u5f02\u4f4d\u598a\u5a20\u662f\u6307\u53d7\u7cbe\u5375\u5728\u5b50\u5bab\u4f53\u8154\u4ee5\u5916\u7684\u90e8\u4f4d\u7740\u5e8a\uff0c\u56e0\u6b64\u4e25\u683c\u610f\u4e49\u4e0a\u8bb2CSP\u5e94\u5c5e\u4e8e\u5f02\u4f4d\u598a\u5a20\u3002<\/p>\n \u9996\u5148\uff0c\u5256\u5bab\u4ea7\u7684\u90e8\u4f4d\u591a\u4e3a\u5b50\u5bab\u5ce1\u90e8\uff0c\u5ce1\u90e8\u4e3a\u5b50\u5bab\u4f53\u4e0e\u5b50\u5bab\u9888\u7684\u4ea4\u754c\u90e8\u4f4d\uff0c\u4e0d\u5c5e\u4e8e\u5b50\u5bab\u4f53\u8154\u3002<\/p>\n \u5176\u6b21\uff0c\u53d7\u7cbe\u5375\u5728\u5256\u5bab\u4ea7\u7622\u75d5\u90e8\u4f4d\u88c2\u9699\u7684\u7740\u5e8a\uff0c\u4e0e\u5b50\u5bab\u808c\u58c1\u95f4\u598a\u5a20\u76f8\u4f3c\uff0c\u5c24\u5176\u5bf9\u4e8e\u5916\u751f\u578bCSP\u3002<\/p>\n \u518d\u6b21\uff0c\u80fd\u5426\u83b7\u5f97\u6d3b\u5a74\u4e0d\u5e94\u662f\u5224\u65ad\u5f02\u4f4d\u598a\u5a20\u7684\u6807\u51c6\uff0c\u56e0\u4e3a\u5c11\u6570\u8179\u8154\u598a\u5a20\u4e5f\u6709\u83b7\u5f97\u6d3b\u5a74\u7684\u53ef\u80fd\uff3b7\uff0c10\uff3d<\/sup>\u3002<\/p>\n CSP\u7684\u786e\u5207\u53d1\u75c5\u7387\u76ee\u524d\u5c1a\u4e0d\u660e\u786e\uff0c\u73b0\u6709\u6570\u636e\u4e3b\u8981\u6765\u81ea\u4e8e\u4e24\u4e2a\u5355\u4e2d\u5fc3\u7684\u62a5\u9053\uff0c\u7ea6\u4e3a1\u22362216\uff5e1\u22361800\uff3b1\uff0c9\uff3d<\/sup>\u3002\u65e2\u5f80\u8ba4\u4e3aCSP\u662f\u5c11\u89c1\uff0c\u751a\u81f3\u662f\u7f55\u89c1\u7684\uff0c\u4f46\u662f\u8fd1\u5e74\u6765CSP\u7684\u53d1\u75c5\u7387\u5df2\u660e\u663e\u5347\u9ad8\u3002\u8fd9\u4e3b\u8981\u4e0e\u4ee5\u4e0b\u56e0\u7d20\u5bc6\u5207\u76f8\u5173\uff1a<\/p>\n \uff081\uff09\u5168\u7403\u5256\u5bab\u4ea7\u7387\u5c45\u9ad8\u4e0d\u4e0b\uff1b<\/p>\n \uff082\uff09\u7ecf\u9634\u9053\u8d85\u58f0\u53caMRI\u7b49\u5f71\u50cf\u5b66\u6280\u672f\u7684\u8fdb\u6b65\uff1b<\/p>\n \uff083\uff09\u8f85\u52a9\u751f\u6b96\u6280\u672f\u7684\u5e7f\u6cdb\u5e94\u7528\uff1b<\/p>\n \uff084\uff09\u4eba\u4eec\u8ba4\u8bc6\u7a0b\u5ea6\u7684\u63d0\u9ad8\u3002<\/p>\n \u9274\u4e8eCSP\u7684\u4e25\u91cd\u540e\u679c\uff0c\u5bf9\u4e8e\u65e2\u5f80\u6709\u5256\u5bab\u4ea7\u53f2\u7684\u5973\u6027\uff0c\u518d\u6b21\u598a\u5a20\u65f6\u5e94\u9996\u5148\u6392\u9664CSP\u7684\u53ef\u80fd\uff3b5\uff0c11\uff3d<\/sup>\u3002<\/p>\n CSP\u7684\u53d1\u75c5\u673a\u5236\u53ca\u5371\u9669\u56e0\u7d20<\/p>\n CSP\u7684\u53d1\u75c5\u673a\u5236\u76ee\u524d\u5c1a\u4e0d\u660e\u786e\uff0c2012\u5e74\u53ca2016\u5e74\u5171\u8bc6\u5747\u672a\u5bf9\u5176\u8fdb\u884c\u8be6\u7ec6\u8bf4\u660e\u3002SMFM\u6307\u5357\u6307\u51fa\uff0cCSP\u7684\u53d1\u75c5\u673a\u5236\u5c1a\u4e0d\u5b8c\u5168\u6e05\u695a\uff0c\u63a8\u6d4b\u5176\u673a\u5236\u6d89\u53ca\u80da\u6ce1\u901a\u8fc7\u65e2\u5f80\u5256\u5bab\u4ea7\u7622\u75d5\u5904\u7684\u5fae\u88c2\u9699\u53d1\u751f\u79cd\u690d\u3002\u7531\u4e8e\u7622\u75d5\u7684\u7ea4\u7ef4\u672c\u8d28\uff0c\u56e0\u6b64\u968f\u7740CSP\u7684\u589e\u5927\uff0c\u79cd\u690d\u7684\u7622\u75d5\u90e8\u4f4d\u4f1a\u53d1\u751f\u7834\u88c2\u3001\u80ce\u76d8\u690d\u5165\u6027\u75be\u75c5\uff08placenta accre-ta spectrum\uff0cPAS\uff09\u53ca\u5927\u51fa\u8840\u7b49\u3002\u7814\u7a76\u8868\u660e\uff0cCSP\u4e0e\u80ce\u76d8\u690d\u5165\u4f3c\u4e4e\u5177\u6709\u76f8\u4f3c\u7684\u75be\u75c5\u9014\u5f84\uff0c\u5e76\u4e14\u53ef\u80fd\u662f\u540c\u4e00\u75be\u75c5\u7684\u4e0d\u540c\u9636\u6bb5\u3002\u4e24\u8005\u7684\u75c5\u7406\u5b66\u8868\u73b0\u5747\u4e3a\u808c\u5c42\u6216\u7622\u75d5\u7ec4\u7ec7\u7684\u7ed2\u6bdb\u6d78\u6da6\uff0c\u5f88\u5c11\u6216\u6ca1\u6709\u8715\u819c\uff3b9\uff3d<\/sup>\u3002<\/p>\n \u5256\u5bab\u4ea7\u53f2\u662f\u53d1\u751fCSP\u7684\u5fc5\u8981\u6761\u4ef6\uff0c\u56e0\u6b64\u5256\u5bab\u4ea7\u7684\u67d0\u4e9b\u76f8\u5173\u56e0\u7d20\u53ef\u80fd\u662fCSP\u7684\u5371\u9669\u56e0\u7d20\u3002SMFM\u6307\u5357\u4e2d\u9996\u6b21\u5bf9CSP\u53d1\u751f\u7684\u5371\u9669\u56e0\u7d20\u8fdb\u884c\u4e86\u603b\u7ed3\u5206\u6790\uff1a<\/p>\n \uff081\uff09\u5c1a\u4e0d\u6e05\u695a\u5256\u5bab\u4ea7\u6b21\u6570\u662f\u5426\u8fdb\u4e00\u6b65\u589e\u52a0CSP\u7684\u98ce\u9669\u3002\u5c3d\u7ba1\u4e00\u4e9b\u7814\u7a76\u8868\u660eCSP\u60a3\u8005\u4e2d\u591a\u6b21\u5256\u5bab\u4ea7\u53f2\u8005\u5360\u591a\u6570\uff0c\u4f46\u662f\u4e00\u9879\u6587\u732e\u7efc\u8ff0\u8868\u660e52%\u7684CSP\u4e3a\u5355\u6b21\u5256\u5bab\u4ea7\u8005\uff3b12\uff3d<\/sup>\u3002<\/p>\n \uff082\uff09\u65e2\u5f80\u5256\u5bab\u4ea7\u6307\u5f81\u53ef\u80fd\u662fCSP\u7684\u5371\u9669\u56e0\u7d20\uff0c\u56e0\u81c0\u4f4d\u884c\u5256\u5bab\u4ea7\u8005\u51fa\u73b0CSP\u7684\u51e0\u7387\u66f4\u9ad8\u3002\u8fd9\u53ef\u80fd\u662f\u7531\u4e8e\u80ce\u4f4d\u4e0d\u6b63\u8005\u5206\u5a29\u65f6\u5b50\u5bab\u4e0b\u6bb5\u5f62\u6210\u4e0d\u826f\uff0c\u5256\u5bab\u4ea7\u5b50\u5bab\u5207\u53e3\u6108\u5408\u4e0d\u826f\u53ca\u5f62\u6210\u5fae\u88c2\u9699\u7684\u98ce\u9669\u66f4\u9ad8\u3002<\/p>\n \uff083\uff09\u5256\u5bab\u4ea7\u5b50\u5bab\u7684\u7f1d\u5408\u65b9\u6cd5\u53ca\u6280\u672f\u53ef\u5f71\u54cd\u5b50\u5bab\u7622\u75d5\u7684\u6108\u5408\uff0c\u4f46\u76ee\u524d\u5c1a\u65e0\u5173\u4e8e\u5b50\u5bab\u7f1d\u5408\u6280\u672f\u4e0eCSP\u5173\u7cfb\u7684\u62a5\u9053\uff3b9\uff3d<\/sup>\u3002<\/p>\n CSP\u7684\u5206\u578b<\/p>\n \u6839\u636eCSP\u5728\u5b50\u5bab\u7622\u75d5\u5904\u7684\u751f\u957f\u65b9\u5f0f\u53ca\u53d1\u5c55\u60c5\u51b5\uff0c\u53ef\u5c06CSP\u5206\u4e3a\u4e0d\u540c\u7684\u7c7b\u578b\u3002\u5c3d\u7ba1CSP\u7684\u5206\u578b\u4e0e\u6cbb\u7597\u65b9\u5f0f\u7684\u9009\u62e9\u53ca\u9884\u540e\u7b49\u5bc6\u5207\u76f8\u5173\uff0c\u4f46\u662f\u81f3\u4eca\u5c1a\u65e0\u516c\u8ba4\u7684\u6700\u4f73CSP\u5206\u578b\u65b9\u6cd5\uff3b4\uff3d<\/sup>\u3002<\/p>\n 2000\u5e74Vail\u7b49\u6839\u636e\u53d7\u7cbe\u5375\u5728\u5256\u5bab\u4ea7\u7622\u75d5\u5904\u79cd\u690d\u7684\u6df1\u6d45\uff0c\u9996\u5148\u5c06CSP\u5206\u4e3a\u5185\u751f\u578b\u548c\u5916\u751f\u578b\u4e24\u79cd\u7c7b\u578b\u30022012\u5e74\u5171\u8bc6\u5c31\u91c7\u7528\u4e86\u8be5\u5206\u578b\u6cd5\uff3b2\uff0c9\uff3d<\/sup>\u3002\u8be5\u5206\u578b\u6cd5\u7b80\u5355\u6613\u61c2\uff0c\u4e14\u5bf9\u6cbb\u7597\u65b9\u6848\u7684\u9009\u62e9\u7b49\u6709\u4e00\u5b9a\u7684\u6307\u5bfc\u4ef7\u503c\uff0c\u7531\u4e8e\u63d0\u51fa\u65f6\u95f4\u65e9\uff0c\u88ab\u56fd\u5185\u5916\u4e0d\u5c11\u5b66\u8005\u91c7\u7528\u3002\u4f46\u662f\u8be5\u5206\u578b\u6cd5\u4e5f\u5b58\u5728\u8bb8\u591a\u4e0d\u8db3\uff0c\u5982\u65e0\u660e\u786e\u7684\u5ba2\u89c2\u6307\u6807\u4ee5\u53ca\u7b80\u5355\u7684\u4e8c\u5206\u7c7b\u6cd5\u5e76\u4e0d\u9002\u5408\u6240\u6709CSP\uff3b4\uff3d<\/sup>\u3002<\/p>\n 2016\u5e74\u5171\u8bc6\u6839\u636e\u8d85\u58f0\u68c0\u67e5\u65f6\u7622\u75d5\u5904\u598a\u5a20\u56ca\u7684\u751f\u957f\u65b9\u5411\u53ca\u5176\u4e0e\u8180\u80f1\u95f4\u5b50\u5bab\u808c\u5c42\u7684\u539a\u5ea6\u5c06CSP\u5206\u4e3a3\u79cd\u7c7b\u578b\uff3b1\uff3d<\/sup>\u3002<\/p>\n \u2160\u578bCSP\u662f\u6307\u598a\u5a20\u56ca\u90e8\u5206\u7740\u5e8a\u4e8e\u5b50\u5bab\u7622\u75d5\u5904\uff0c\u90e8\u5206\u6216\u5927\u90e8\u5206\u4f4d\u4e8e\u5bab\u8154\u5185\uff0c\u5c11\u6570\u751a\u6216\u8fbe\u5bab\u5e95\u90e8\u5bab\u8154\uff1b\u598a\u5a20\u56ca\u660e\u663e\u53d8\u5f62\u3001\u62c9\u957f\u3001\u4e0b\u7aef\u6210\u9510\u89d2\uff1b\u598a\u5a20\u56ca\u4e0e\u8180\u80f1\u95f4\u5b50\u5bab\u808c\u5c42\u53d8\u8584\uff0c\u539a\u5ea6\uff1e3mm\uff1bCDFI\u793a\u7622\u75d5\u5904\u89c1\u6ecb\u517b\u5c42\u8840\u6d41\u4fe1\u53f7\u3002<\/p>\n \u2161\u578bCSP\u4e0e\u2160\u578bCSP\u76f8\u4f3c\uff0c\u4f46\u598a\u5a20\u56ca\u4e0e\u8180\u80f1\u95f4\u5b50\u5bab\u808c\u5c42\u539a\u5ea6\u22643mm\u3002<\/p>\n \u2162\u578bCSP\u662f\u6307\u598a\u5a20\u56ca\u5b8c\u5168\u7740\u5e8a\u4e8e\u5b50\u5bab\u7622\u75d5\u5904\u808c\u5c42\u5e76\u5411\u8180\u80f1\u65b9\u5411\u5916\u51f8\uff1b\u5bab\u8154\u53ca\u5b50\u5bab\u9888\u7ba1\u5185\u7a7a\u865a\uff1b\u598a\u5a20\u56ca\u4e0e\u8180\u80f1\u4e4b\u95f4\u5b50\u5bab\u808c\u5c42\u660e\u663e\u53d8\u8584\u3001\u751a\u6216\u7f3a\u5931\uff0c\u539a\u5ea6\u22643mm\uff1bCDFI\u793a\u7622\u75d5\u5904\u89c1\u6ecb\u517b\u5c42\u8840\u6d41\u4fe1\u53f7\u3002<\/p>\n \u5176\u4e2d\uff0c\u2162\u578b\u4e2d\u8fd8\u67091\u79cd\u7279\u6b8a\u7684\u5305\u5757\u578bCSP\uff0c\u5176\u58f0\u50cf\u56fe\u7684\u7279\u70b9\u662f\u5b50\u5bab\u4e0b\u6bb5\u7622\u75d5\u5904\u53ef\u89c1\u6df7\u5408\u56de\u58f0\u5305\u5757\uff0c\u5305\u5757\u5411\u8180\u80f1\u65b9\u5411\u9686\u8d77\uff1b\u5305\u5757\u4e0e\u8180\u80f1\u95f4\u5b50\u5bab\u808c\u5c42\u660e\u663e\u53d8\u8584\u3001\u751a\u6216\u7f3a\u5931\uff1bCDFI\u793a\u5305\u5757\u5468\u8fb9\u89c1\u8f83\u4e30\u5bcc\u7684\u8840\u6d41\u4fe1\u53f7\uff0c\u53ef\u4e3a\u4f4e\u963b\u8840\u6d41\uff0c\u5c11\u6570\u4e5f\u53ef\u4ec5\u89c1\u5c11\u8bb8\u8840\u6d41\u4fe1\u53f7\u6216\u65e0\u8840\u6d41\u4fe1\u53f7\u3002\u5305\u5757\u578b\u591a\u89c1\u4e8eCSP\u6d41\u4ea7\u540e\u7622\u75d5\u5904\u598a\u5a20\u7269\u6b8b\u7559\u5e76\u51fa\u8840\u6240\u81f4\u3002\u8be5\u5206\u578b\u6cd5\u662f\u76ee\u524d\u6700\u4e3a\u8be6\u7ec6\u7684CSP\u5206\u578b\u6cd5\uff0c\u5bf9CSP\u6cbb\u7597\u65b9\u6848\u7684\u9009\u62e9\u6709\u8f83\u597d\u7684\u6307\u5bfc\u4ef7\u503c\uff0c\u503c\u5f97\u63a8\u5e7f\uff3b1\uff0c4\uff3d<\/sup>\u3002<\/p>\n SMFM\u6307\u5357\u7b80\u5355\u4ecb\u7ecd\u4e86\u5916\u751f\u578b\u548c\u5185\u751f\u578b\u5206\u578b\u6cd5\uff0c\u5e76\u6307\u51fa\u53ef\u5c06\u5176\u5206\u522b\u7b49\u540c\u4e8eon the scar\uff08\u7622\u75d5\u4e0a\u578b\uff09\u548c\u2160n-the-niche\uff08\u88c2\u9699\u5185\u578b\uff09\uff3b9\uff3d<\/sup>\u3002\u8fd9\u4e3b\u8981\u662f\u57fa\u4e8eKaelin Agten\u7b49\uff3b13\uff3d<\/sup>\u7684\u89c2\u5bdf\u6027\u7814\u7a76\uff0c\u8be5\u7814\u7a76\u6839\u636e\u5b55\u65e9\u671f\u7684\u8d85\u58f0\u68c0\u67e5\u5c06CSP\u5206\u4e3aon the scar\u53cain the niche\u4e24\u79cd\u7c7b\u578b\u300217\u4f8b\u884c\u671f\u5f85\u6cbb\u7597\u7684CSP\u4e2d\uff0c6\u4f8b\u4e3aon the scar\u578b\uff08A\u7ec4\uff09\uff0c11\u4f8b\u4e3ain the niche\u578b\uff08B\u7ec4\uff09\u3002\u901a\u8fc7\u968f\u8bbf\u53d1\u73b0B\u7ec4\u5206\u5a29\u65f6\u7684\u5b55\u5468\u660e\u663e\u5c0f\u4e8eA\u7ec4\uff0834\u5468 vs 38\u5468\uff09\u3002A\u7ec4\u4e2d\u67095\u4f8b\u5256\u5bab\u4ea7\u65f6\u65e0\u80ce\u76d8\u5f02\u5e38\uff0c\u4ec51\u4f8b\u56e0\u80ce\u76d8\u690d\u5165\u884c\u5b50\u5bab\u5207\u9664\u3002B\u7ec4\u4e2d1\u4f8b\u56e0\u5927\u51fa\u8840\u4e8e\u5b5520\u5468\u884c\u5b50\u5bab\u5207\u9664\uff0c\u53e610\u4f8b \u5256\u5bab\u4ea7\u672f\u4e2d\u5747\u56e0 PAS \u800c\u884c\u5b50\u5bab\u5207\u9664\u3002\u56e0\u6b64\u5176\u8ba4\u4e3aon the scar\u578b\u7684\u598a\u5a20\u7ed3\u5c40\u4f18\u4e8ein the niche\u578b\uff3b6\uff0c13\uff3d<\/sup>\u3002\u4f46\u662f\u8be5\u7814\u7a76\u4ec5\u670917\u4f8b\u884c\u671f\u5f85\u6cbb\u7597\u7684CSP\uff0c\u8be5\u5206\u578b\u6cd5\u5bf9\u5176\u4ed6\u6cbb\u7597\u65b9\u5f0f\u7684\u6307\u5bfc\u4ef7\u503c\u5c1a\u9700\u8fdb\u4e00\u6b65\u5927\u6837\u672c\u7814\u7a76\u3002\u6545\u5efa\u8bae\u4e34\u5e8a\u4e2d\u4ecd\u9996\u90092016\u5e74\u5171\u8bc6\u7684\u5206\u578b\u6cd5\u3002<\/p>\n \u6b64\u5916\uff0c\u6709\u4e00\u4e9b\u5b66\u8005\u6839\u636eCSP\u7684\u8d85\u58f0\u548c\u4e34\u5e8a\u7279\u5f81\u7b49\uff0c\u63d0\u51fa\u4e86\u4e00\u4e9b\u65b0\u7684CSP\u5206\u578b\u3002\u5982\u5eb7\u5f66\u541b\u7b49\uff3b14\uff3d<\/sup>\u7efc\u5408\u4e86\u598a\u5a20\u75c5\u7076\u5904\u7684\u808c\u5c42\u539a\u5ea6\u3001\u75c5\u7076\u5927\u5c0f\u3001\u751f\u957f\u65b9\u5411\u3001\u8840\u6d41\u60c5\u51b5\u7b49\u540e\uff0c\u5c06CSP\u5206\u4e3a\u2160\u578b\u3001\u2161a\u578b\u3001\u2161b\u578b\u3001\u2162a\u578b\u53ca\u2162b\u578b\u4e94\u578b\u3002\u8fd9\u4e9b\u65b0\u7684\u5206\u578b\u5728\u503c\u5f97\u5173\u6ce8\u7684\u540c\u65f6\uff0c\u5c1a\u9700\u8fdb\u4e00\u6b65\u7684\u7814\u7a76\u8bc1\u5b9e\u5176\u5b9e\u7528\u6027\uff3b4\uff3d<\/sup>\u3002<\/p>\n CSP\u7684\u4e34\u5e8a\u8868\u73b0<\/p>\n CSP\u901a\u5e38\u4e8e\u5b55\u65e9\u671f\u5c31\u8bca\uff0c\u8bca\u65ad\u65f6\u5e73\u5747\u5b55\u5468\u662f\uff087.5\u00b12.5\uff09\u5468\uff3b15\uff3d<\/sup>\u3002CSP\u7684\u4e34\u5e8a\u8868\u73b0\u591a\u79cd\u591a\u6837\uff0c\u4e14\u65e0\u7279\u5f02\u6027\uff0c\u53ef\u4ee5\u4ece\u65e0\u75c7\u72b6\u5230\u5b50\u5bab\u7834\u88c2\u53ca\u8179\u8154\u51fa\u8840\u3002CSP\u4e2d\u7ea6\u67091\/3\u662f\u65e0\u75c7\u72b6\u7684\uff0c\u7ea61\/3\u4e3a\u65e0\u75db\u6027\u9634\u9053\u6d41\u8840\uff0c\u7ea61\/4\u4e3a\u4f34\u6216\u4e0d\u4f34\u6d41\u8840\u7684\u75bc\u75db\uff3b9\uff3d<\/sup>\u3002\u5982CSP\u53d1\u751f\u7834\u88c2\u5219\u8868\u73b0\u4e3a\u8840\u6d41\u52a8\u529b\u5b66\u7684\u4e0d\u7a33\u5b9a\u3002<\/p>\n CSP\u7684\u8bca\u65ad<\/p>\n \u7531\u4e8e\u7f3a\u4e4f\u5178\u578b\u53ca\u7279\u5f02\u7684\u4e34\u5e8a\u8868\u73b0\uff0c\u56e0\u6b64\u8f85\u52a9\u68c0\u67e5\u662f\u8bca\u65adCSP\u7684\u5173\u952e\u30023\u4e2a\u5171\u8bc6\/\u6307\u5357\u5747\u63a8\u8350\u5c06\u7ecf\u9634\u9053\u5f69\u8d85\u4f5c\u4e3a\u8bca\u65adCSP\u7684\u9996\u9009\u65b9\u6cd5\uff3b1-2\uff0c9\uff3d<\/sup>\u3002\u7ecf\u8179\u4e0e\u7ecf\u9634\u9053\u8d85\u58f0\u8054\u5408\u68c0\u67e5\u53ef\u63d0\u4f9b\u66f4\u52a0\u5168\u9762\u7684\u8bca\u65ad\u4fe1\u606f\u3002<\/p>\n CSP\u7684\u8d85\u58f0\u8bca\u65ad\u6807\u51c6\u6700\u521d\u7531Vail\u7b49\u4e8e2000\u5e74\u63d0\u51fa\uff0c\u540e\u88ab\u4e00\u4e9b\u5b66\u8005\u8fdb\u4e00\u6b65\u6539\u8fdb\u548c\u5b8c\u5584\u30022012\u5e74\u53ca2016\u5e74\u7684\u5171\u8bc6\u6307\u51fa\uff0cCSP\u7684\u5178\u578b\u8d85\u58f0\u8868\u73b0\u4e3a\uff1a<\/p>\n \uff081\uff09\u5bab\u8154\u53ca\u5bab\u9888\u7ba1\u5185\u7a7a\u865a\uff0c\u672a\u89c1\u598a\u5a20\u56ca\uff1b<\/p>\n \uff082\uff09\u598a\u5a20\u56ca\u7740\u5e8a\u4e8e\u5b50\u5bab\u524d\u58c1\u4e0b\u6bb5\u808c\u5c42\uff08\u76f8\u5f53\u4e8e\u5256\u5bab\u4ea7\u5b50\u5bab\u5207\u53e3\u90e8\u4f4d\uff09\uff0c\u90e8\u5206\u598a\u5a20\u56ca\u5185\u53ef\u89c1\u80ce\u82bd\u6216\u80ce\u5fc3\u640f\u52a8\uff1b<\/p>\n \uff083\uff09\u5b50\u5bab\u524d\u58c1\u808c\u5c42\u8fde\u7eed\u6027\u4e2d\u65ad\uff0c\u598a\u5a20\u56ca\u4e0e\u8180\u80f1\u4e4b\u95f4\u7684\u5b50\u5bab\u808c\u5c42\u660e\u663e\u53d8\u8584\u751a\u81f3\u6d88\u5931\uff1b<\/p>\n \uff084\uff09CDFI\u793a\u598a\u5a20\u56ca\u5468\u8fb9\u9ad8\u901f\u4f4e\u963b\u8840\u6d41\u4fe1\u53f7\uff3b1-2\uff3d<\/sup>\u3002<\/p>\n \u4f46\u662f\u9700\u8981\u6ce8\u610f\u7684\u662f\uff0c\u8fd9\u662f\u6700\u5178\u578b\u7684CSP\u8d85\u58f0\u8868\u73b0\uff0c\u5b9e\u9645\u4e0aCSP\u7684\u8d85\u58f0\u8868\u73b0\u662f\u590d\u6742\u591a\u53d8\u7684\u3002\u5982\u90e8\u5206\u5185\u751f\u578bCSP\u7684\u598a\u5a20\u56ca\u53ef\u4f4d\u4e8e\u5bab\u8154\uff0c\u751a\u81f3\u8fbe\u5bab\u5e95\u90e8\uff1b\u5305\u5757\u578bCSP\u53ef\u8868\u73b0\u4e3a\u5b9e\u6027\u5305\u5757\uff0c\u5c40\u90e8\u53ef\u4ec5\u5c11\u8bb8\u6216\u65e0\u660e\u663e\u8840\u6d41\u4fe1\u53f7\u3002<\/p>\n SMFM\u6307\u5357\u4e2d\u5bf9CSP\u8d85\u58f0\u8bca\u65ad\u7684\u63cf\u8ff0\u4e3a\uff1a<\/p>\n \uff081\uff09\u5bab\u8154\u53ca\u5bab\u9888\u7ba1\u5185\u672a\u89c1\u598a\u5a20\u56ca\uff1b<\/p>\n \uff082\uff09\u80ce\u76d8\u548c\uff08\u6216\uff09\u598a\u5a20\u56ca\u690d\u5165\u5728\u5b50\u5bab\u7622\u75d5\u5904\uff1b<\/p>\n \uff083\uff09\u4e09\u89d2\u5f62\uff08\u22648\u5468\uff09\u6216\u5706\u5f62\/\u692d\u5706\u5f62\uff08\uff1e8\u5468\uff09\u7684\u598a\u5a20\u56ca\u5145\u6ee1\u7622\u75d5\u7684\u201c\u61a9\u5ba4\u201d\uff1b<\/p>\n \uff084\uff09\u598a\u5a20\u56ca\u4e0e\u8180\u80f1\u4e4b\u95f4\u7684\u808c\u5c42\u53d8\u8584\uff081\uff5e3mm\uff09\u6216\u6d88\u5931\uff1b<\/p>\n \uff085\uff09\u5256\u5bab\u4ea7\u7622\u75d5\u5904\u89c1\u4e30\u5bcc\u6216\u663e\u8457\u7684\u8840\u6d41\u4fe1\u53f7\uff1b<\/p>\n \uff086\uff09\u4f34\u6216\u4e0d\u4f34\u5fc3\u7ba1\u640f\u52a8\u7684\u80da\u80ce\u548c\uff08\u6216\uff09\u5375\u9ec4\u56ca\uff3b9\uff3d<\/sup>\u3002<\/p>\n \u8be5\u63cf\u8ff0\u4e0e2012\u5e74\u53ca2016\u5e74\u5171\u8bc6\u4e2d\u7684\u63cf\u8ff0\u65e0\u672c\u8d28\u533a\u522b\uff0c\u4e14\u6307\u5357\u5f3a\u8c03\u5e76\u4e0d\u662f\u6bcf\u4f8bCSP\u90fd\u7b26\u5408\u4ee5\u4e0a\u6240\u6709\u6807\u51c6\u3002\u4f46\u5bf9\u4e8e\u598a\u5a20\u56ca\u4e0e\u8180\u80f1\u4e4b\u95f4\u7684\u808c\u5c42\u53d8\u8584\uff081\uff5e3mm\uff09\uff0c\u5c1a\u503c\u5f97\u5546\u69b7\uff0c\u56e0\u4e3a\u6709\u90e8\u5206CSP\u7684\u5c40\u90e8\u808c\u5c42\u53ef\u5927\u4e8e3mm\uff0c\u59822016\u5e74\u5171\u8bc6\u5206\u578b\u4e2d\u7684\u2160\u578bCSP\u3002<\/p>\n MRI\u53ef\u534f\u52a9\u8d85\u58f0\u8bca\u65adCSP\uff0c\u540c\u65f6\u63d0\u4f9b\u5173\u4e8e\u690d\u5165\u6df1\u5ea6\u548c\u662f\u5426\u5b58\u5728PAS\u7684\u6709\u7528\u4fe1\u606f\u3002\u4e09\u5927\u5171\u8bc6\/\u6307\u5357\u90fd\u4e0d\u63a8\u8350\u5c06MRI\u4f5c\u4e3aCSP\u7684\u5e38\u89c4\u8bc4\u4f30\u65b9\u6cd5\uff0c\u56e0\u4e3a\u7ecf\u9634\u9053\u8d85\u58f0\u5177\u6709\u5f88\u597d\u7684\u8bca\u65ad\u4ef7\u503c\uff0c\u800cMRI\u4ef7\u683c\u6602\u8d35\uff0c\u96be\u4ee5\u53cd\u590d\u591a\u6b21\u8fdb\u884c\uff3b9\uff3d<\/sup>\u3002\u5bf9\u4e8e\u8d85\u58f0\u65e0\u6cd5\u786e\u8bca\u7684\u75c5\u4f8b\uff0cMRI\u53ef\u4f5c\u4e3a\u4e00\u79cd\u8f85\u52a9\u65b9\u6cd5\u3002\u9274\u4e8e\u5ef6\u8fdf\u8bca\u65ad\u53ef\u80fd\u5bfc\u81f4\u4e25\u91cd\u540e\u679c\uff0c\u56e0\u6b64\u8d85\u58f0\u8054\u5408MRI\u53ef\u80fd\u4f18\u4e8e\u8fde\u7eed\u591a\u6b21\u8d85\u58f0\u68c0\u67e5\uff3b9\uff3d<\/sup>\u3002<\/p>\n \u7814\u7a76\u8868\u660e\uff0c\u7ecf\u9634\u9053\u4e09\u7ef4\u8d85\u58f0\u53ef\u63d0\u9ad8CSP\u8bca\u65ad\u7684\u51c6\u786e\u6027\uff0c\u4f46\u662f\u76ee\u524d\u8fd8\u6ca1\u6709\u8db3\u591f\u7684\u6570\u636e\u652f\u6301\u5c06\u5176\u4f5c\u4e3aCSP\u7684\u5e38\u89c4\u68c0\u67e5\u3002\u4e5f\u6709\u62a5\u9053\u4f7f\u7528\u5bab\u8154\u955c\u548c\u8179\u8154\u955c\u8bca\u65adCSP\uff0c\u4f46\u4e0d\u5efa\u8bae\u5c06\u5176\u7528\u4e8e\u5355\u7eaf\u7684\u8bca\u65ad\uff0c\u4ec5\u5728\u624b\u672f\u6cbb\u7597\u7684\u540c\u65f6\u7528\u4e8e\u786e\u8bcaCSP\uff3b1\uff0c9\uff3d<\/sup>\u3002<\/p>\n SMFM\u6307\u5357\u53cd\u590d\u5f3a\u8c03\uff0cCSP\u5ef6\u8fdf\u8bca\u65ad\u53ca\u8bef\u8bca\u7684\u540e\u679c\u5f80\u5f80\u662f\u4e25\u91cd\u751a\u81f3\u707e\u96be\u6027\u7684\uff0c\u56e0\u6b64\u5bf9\u4e8e\u6000\u7591CSP\u8005\uff0c\u5e94\u79ef\u6781\u91c7\u53d6\u6709\u6548\u7684\u8bca\u65ad\u65b9\u6cd5\u8fdb\u884c\u53ca\u65f6\u786e\u8bca\u3002\u7ecf\u9634\u9053\u5f69\u8d85\u662f\u8bca\u65adCSP\u7684\u9996\u9009\uff0c\u5bf9\u4e8e\u8bca\u65ad\u56f0\u96be\u8005\uff0c\u5e94\u6743\u8861\u8f6c\u8bca\u3001\u671f\u5f85\u6216\u8054\u5408MRI\u7b49\u7684\u5229\u5f0a\uff0c\u6839\u636e\u5b9e\u9645\u60c5\u51b5\u4ee5\u5c3d\u5feb\u660e\u786e\u8bca\u65ad\u4e3a\u552f\u4e00\u6700\u7ec8\u76ee\u7684\uff3b9\uff3d<\/sup>\u3002<\/p>\n CSP\u7684\u81ea\u7136\u75c5\u7a0b<\/p>\n CSP\u60a3\u8005\u591a\u4e8e\u5b55\u65e9\u671f\u7ec8\u6b62\u598a\u5a20\uff0c\u56e0\u6b64\u5bf9CSP\u7684\u81ea\u7136\u75c5\u7a0b\u77e5\u4e4b\u751a\u5c11\uff0c\u5c11\u6570\u9009\u62e9\u671f\u5f85\u6cbb\u7597\u8005\u53ef\u4e3a\u4e86\u89e3CSP\u7684\u81ea\u7136\u75c5\u7a0b\u63d0\u4f9b\u53c2\u8003\uff3b6\uff3d<\/sup>\u30022012\u5e74\u5171\u8bc6\u4e2d\u7b80\u5355\u4ecb\u7ecd\u4e86CSP\u7684\u75c5\u7406\u8fc7\u7a0b\u3002CSP\u80da\u80ce\u65e9\u671f\u505c\u6b62\u53d1\u80b2\u540e\uff0c\u80da\u56ca\u5265\u79bb\u65f6\u53ef\u5bfc\u81f4\u5b50\u5bab\u51fa\u8840\u3001\u51fa\u8840\u5c40\u90e8\u6de4\u79ef\u3001\u51fa\u8840\u6d41\u5165\u5bab\u8154\u6216\u51fa\u8840\u6de4\u79ef\u5bab\u9888\u7ba1\u3002\u80da\u80ce\u7ee7\u7eed\u53d1\u80b2\uff0c\u53ef\u53d1\u751f\u65e9\u671f\u5b50\u5bab\u7834\u88c2\uff0c\u598a\u5a20\u81f3\u4e2d\u665a\u5b55\u671f\u65f6\u4f1a\u7531\u4e8e\u80da\u80ce\u524d\u7f6e\u3001\u80ce\u76d8\u690d\u5165\u7b49\u5e76\u53d1\u75c7\u800c\u51fa\u73b0\u4e2d\u3001\u665a\u671f\u51fa\u8840\uff3b2\uff3d<\/sup>\u30022016\u5e74\u5171\u8bc6\u4e2d\u672a\u5bf9CSP\u7684\u81ea\u7136\u75c5\u7a0b\u7ed9\u4e88\u4e13\u95e8\u7684\u8bf4\u660e\u3002<\/p>\n SMFM\u6307\u5357\u6307\u51fa\uff0cCSP\u5728\u5b55\u4e2d\u3001\u665a\u671f\u51fa\u73b0\u4e25\u91cd\u5e76\u53d1\u75c7\u7684\u98ce\u9669\u5f88\u9ad8\uff3b9\uff3d<\/sup>\u3002CSP\u6709\u6d3b\u4ea7\u7684\u62a5\u9053\uff0c\u4f46\u662f\u901a\u5e38\u4f34\u6709PAS\u3001\u5b50\u5bab\u5207\u9664\u53ca\u5927\u51fa\u8840\u3002\u9009\u62e9\u671f\u5f85\u6cbb\u7597\u7684CSP\u591a\u6570\u9700\u5176\u4ed6\u6cbb\u7597\uff0c\u5e76\u4e14\u5927\u4e8e50%\u8005\u51fa\u73b0\u4e25\u91cd\u5e76\u53d1\u75c7\u3002\u9274\u4e8e\u6b64\uff0c\u4e0d\u5efa\u8baeCSP\u91c7\u53d6\u671f\u5f85\u6cbb\u7597\uff0c\u4e00\u7ecf\u8bca\u65ad\u5e94\u79ef\u6781\u7ec8\u6b62\u598a\u5a20\u3002<\/p>\n SMFM\u6307\u5357\u53cd\u5bf9CSP\u8fdb\u884c\u671f\u5f85\u6cbb\u7597\uff08GRADE 1B\uff09\uff3b9\uff3d<\/sup>\u3002\u6709\u62a5\u9053\u663e\u793a\uff0c\u5bf9\u4e8e\u5b55\u65e9\u671f\u53d1\u751f\u80da\u80ce\u505c\u80b2\u7684CSP\u53ef\u9009\u62e9\u671f\u5f85\u6cbb\u7597\uff3b16\uff3d<\/sup>\uff0c\u4f46\u662f\u9700\u8981\u8fde\u7eed\u76d1\u6d4b\u8d85\u58f0\u3001\u8840HCG\u53ca\u9634\u9053\u6d41\u8840\u7b49\u3002\u598a\u5a20\u56ca\u7684\u81ea\u7136\u5438\u6536\u53ef\u80fd\u9700\u8981\u6570\u6708\uff0c\u4e14\u6709\u53ef\u80fd\u5f62\u6210\u5b50\u5bab\u52a8\u9759\u8109\u7578\u5f62\uff08arte-riovenous malformation\uff0cAVM\uff09\u3002\u5b50\u5babAVM\u53ef\u80fd\u662f\u6301\u7eed\u6027\u7684\uff0c\u53ef\u4f34\u6709\u9634\u9053\u5927\u51fa\u8840\uff0c\u53ef\u80fd\u9700\u5b50\u5bab\u52a8\u8109\u6813\u585e\uff08uterine artery embolization\uff0cUAE\uff09\uff0c\u751a\u81f3\u5207\u9664\u5b50\u5bab\uff3b9\uff3d<\/sup>\u3002<\/p>\n CSP\u7684\u6cbb\u7597<\/p>\n CSP\u7684\u6cbb\u7597\u65b9\u6cd5\u591a\uff0c\u4f46\u6700\u4f73\u6cbb\u7597\u65b9\u6848\u81f3\u4eca\u4ecd\u4e0d\u660e\u786e\u3002\u5e38\u7528\u7684CSP\u6cbb\u7597\u65b9\u6cd5\u6709\u7532\u6c28\u8776\u5464\uff08methotrex-ate\uff0cMTX\uff09\u5c40\u90e8\u548c\uff08\u6216\uff09\u5168\u8eab\u6ce8\u5c04\u3001KCl\u598a\u5a20\u56ca\u5185\u6ce8\u5c04\u3001\u598a\u5a20\u56ca\u5185\u7a7f\u523a\u62bd\u5438\u3001\u6e05\u5bab\u672f\u3001UAE\u3001\u7ecf\u8179\/\u7ecf\u8179\u8154\u955c\/\u7ecf\u9634\u9053\/\u7ecf\u5bab\u8154\u955c\u598a\u5a20\u75c5\u7076\u5207\u9664\u672f\u3001\u9ad8\u5f3a\u5ea6\u805a\u7126\u8d85\u58f0\uff08high intensity focused ultrasound\uff0cHIFU\uff09\uff0c\u4ee5\u53ca\u4ee5\u4e0a\u65b9\u6cd5\u7684\u5404\u79cd\u7ec4\u5408\uff3b7\uff0c9\uff3d<\/sup>\u3002<\/p>\n 01<\/p>\n CSP\u6cbb\u7597\u7684\u603b\u539f\u5219<\/p>\n 2012\u5e74\u5171\u8bc6\u6307\u51faCSP\u6cbb\u7597\u7684\u76ee\u6807\u662f\u7ec8\u6b62\u598a\u5a20\u3001\u53bb\u9664\u75c5\u7076\u3001\u4fdd\u969c\u60a3\u8005\u7684\u5b89\u5168\u3002\u6cbb\u7597\u7684\u539f\u5219\u662f\u5c3d\u65e9\u53d1\u73b0\uff0c\u5c3d\u65e9\u6cbb\u7597\uff0c\u51cf\u5c11\u5e76\u53d1\u75c7\uff0c\u907f\u514d\u671f\u5f85\u6cbb\u7597\u548c\u76f2\u76ee\u522e\u5bab\uff3b2\uff3d<\/sup>\u3002<\/p>\n 2016\u5e74\u5171\u8bc6\u6307\u51faCSP\u7684\u8bca\u6cbb\u539f\u5219\u662f\u65e9\u8bca\u65ad\uff0c\u65e9\u7ec8\u6b62\uff0c\u65e9\u6e05\u9664\u3002\u7ec8\u6b62\u598a\u5a20\u65f6\u5e94\u9075\u5faa\u548c\u9009\u62e9\u7ec8\u6b62\u65e9\u5b55\u7684\u57fa\u672c\u539f\u5219\u548c\u65b9\u6cd5\uff0c\u4ee5\u51cf\u5c11\u635f\u4f24\uff0c\u5c3d\u53ef\u80fd\u4fdd\u7559\u60a3\u8005\u7684\u751f\u80b2\u80fd\u529b\uff3b1\uff3d<\/sup>\u3002<\/p>\n SMFM\u6307\u5357\u6307\u51faCSP\u6cbb\u7597\u65b9\u6848\u9009\u62e9\u7684\u9996\u8981\u539f\u5219\u662f\u4fdd\u62a4\u5b55\u4ea7\u5987\u7684\u5065\u5eb7\uff0c\u6b21\u8981\u539f\u5219\u662f\u5c3d\u91cf\u4fdd\u7559\u751f\u80b2\u529f\u80fd\u3002\u6cbb\u7597\u65b9\u6848\u7684\u9009\u62e9\u8981\u7efc\u5408\u8003\u8651\u598a\u5a20\u65f6\u95f4\u3001\u80da\u80ce\u5b58\u6d3b\u3001\u5b55\u5987\u5065\u5eb7\u3001\u751f\u80b2\u8981\u6c42\u3001\u533b\u751f\u7ecf\u9a8c\u548c\u624b\u672f\u6280\u5de7\uff0c\u4ee5\u53ca\u5355\u4f4d\u8bbe\u5907\u8d44\u6e90\u7b49\u8fdb\u884c\u4e2a\u6027\u5316\u9009\u62e9\uff3b9\uff3d<\/sup>\u3002<\/p>\n 02<\/p>\n CSP\u5e38\u89c1\u6cbb\u7597\u65b9\u6848\u7684\u6bd4\u8f83<\/p>\n CSP\u53d1\u75c5\u7387\u4f4e\uff0c\u96be\u4ee5\u5f00\u5c55\u968f\u673a\u5bf9\u7167\u7814\u7a76\uff0c\u56e0\u6b64\u57fa\u4e8e\u6587\u732e\u7684\u7efc\u8ff0\u53ca\u7cfb\u7edf\u8bc4\u4ef7\u662f\u76ee\u524d\u53ef\u4f9b\u53c2\u8003\u7684\u4e3b\u8981\u4f9d\u636e\u30022012\u5e74Timor-Tritsch\u7b49\u5bf9\u62a5\u9053\u4e2d\u7684751\u4f8bCSP\u8fdb\u884c\u5206\u6790\u53d1\u73b0\uff0c\u5171\u670931\u79cd\u4e0d\u540c\u7684\u6cbb\u7597\u65b9\u6cd5\uff0c\u5176\u603b\u7684\u5e76\u53d1\u75c7\u7387\u4e3a44.1%\uff0c\u5e76\u53d1\u75c7\u5305\u62ec\u975e\u8ba1\u5212\u7684\u7d27\u6025\u624b\u672f\uff0c\u5982\u5b50\u5bab\u5207\u9664\uff084.8%\uff09\u3001\u5256\u8179\u63a2\u67e5\uff085.3%\uff09\u53ca UAE\uff082.9%\uff09\uff3b3\uff0c17\uff3d\u30022016\u5e74Birch Petersen\u7b49\uff3b18\uff3d<\/sup>\u5bf92037\u4f8bCSP\u60a3\u8005\u8fdb\u884c\u7684\u7cfb\u7edf\u8bc4\u4ef7\u662f\u76ee\u524d\u5173\u4e8eCSP\u6cbb\u7597\u9009\u62e9\u7684\u91cd\u8981\u53c2\u8003\u3002<\/p>\n \u7efc\u5408\u5206\u6790\u540e\u5176\u5c06\u6cbb\u7597\u65b9\u5f0f\u5206\u4e3a14\u79cd\u4e3b\u8981\u65b9\u6cd5\u3002\u6cbb\u7597\u6210\u529f\u7387\u6700\u4f4e\u7684\u65b9\u6cd5\u6709\u671f\u5f85\u6cbb\u7597\u3001\u6e05\u5bab\u672f\u3001\u5c40\u90e8MTX\u6ce8\u5c04\u3001UACE\u3001MTX\u808c\u6ce8\u3001\u5168\u8eab\u8054\u5408\u5c40\u90e8MTX\u6ce8\u5c04\uff0c\u5176\u6cbb\u7597\u6210\u529f\u7387\u5206\u522b\u4e3a41.5%\u300148.1%\u300164.9%\u300168.8%\u300175.2%\u53ca76.5%\u3002\u6cbb\u7597\u6210\u529f\u7387\u6700\u9ad8\u7684\u662f\u7ecf\u9634\u9053\u598a\u5a20\u75c5\u7076\u5207\u9664\u672f\u3001\u8179\u8154\u955c\u4e0b\u598a\u5a20\u75c5\u7076\u5207\u9664\u672f\u3001UAE\u8054\u5408\u5bab\u8154\u955c\u4e0b\u6e05\u5bab\u672f\u3001UAE\u8054\u5408\u6e05\u5bab\u672f\u53ca\u5bab\u8154\u955c\u4e0b\u598a\u5a20\u75c5\u7076\u5207\u9664\u672f\uff0c\u5176\u6cbb\u7597\u6210\u529f\u7387\u5206\u522b\u4e3a99.2%\u300197.1%\u300195.4%\u300193.6%\u53ca83.2%\u3002\u56e0\u6b64\uff0c\u4f5c\u8005\u8ba4\u4e3a\u624b\u672f\u6cbb\u7597\u4f18\u4e8e\u836f\u7269\u6cbb\u7597\uff0c\u4ee5\u4e0a\u4e94\u79cd\u6210\u529f\u7387\u6700\u9ad8\u7684\u6cbb\u7597\u65b9\u5f0f\u503c\u5f97\u63a8\u8350\uff3b5\uff0c18\uff3d<\/sup>\u3002<\/p>\n 03<\/p>\n \u63a8\u8350\u7684CSP\u6cbb\u7597\u65b9\u6cd5<\/p>\n CSP\u7684\u6cbb\u7597\u65b9\u5f0f\u79cd\u7c7b\u7e41\u591a\uff0c\u800c\u4e14\u5b58\u5728\u5404\u79cd\u7ec4\u5408\uff0c\u5373\u4f7f\u5c06\u5404\u79cd\u6cbb\u7597\u65b9\u6cd5\u8fdb\u884c\u7b80\u5355\u7684\u5206\u7c7b\u4e5f\u5e76\u975e\u6613\u4e8b\u30022016\u5e74\u5171\u8bc6\u5c06CSP\u7684\u6cbb\u7597\u65b9\u6cd5\u5206\u4e3a\u836f\u7269\u6cbb\u7597\u3001\u624b\u672f\u6cbb\u7597\u548cUAE\uff3b1\uff3d<\/sup>\u3002SMFM\u6307\u5357\u5219\u5c06\u5176\u5206\u4e3a\u836f\u7269\u6cbb\u7597\u3001\u624b\u672f\u6cbb\u7597\u53ca\u8f85\u52a9\u6cbb\u7597\uff3b9\uff3d<\/sup>\u3002\u73b0\u5c31\u7ed3\u54082016\u5e74\u5171\u8bc6\u53caSMFM\u6307\u5357\u5bf9\u63a8\u8350\u7684\u6cbb\u7597\u65b9\u6cd5\u8fdb\u884c\u7b80\u5355\u4ecb\u7ecd\u3002<\/p>\n \u836f\u7269\u6cbb\u7597<\/p>\n 2016\u5e74\u5171\u8bc6\u6307\u51faCSP\u836f\u7269\u6cbb\u7597\u7684\u9002\u5e94\u8bc1\u4e3a\u4e0d\u613f\u610f\u6216\u4e0d\u9002\u5408\u624b\u672f\u6cbb\u7597\u7684\u65e9\u5b55\u671fCSP\uff1b\u2161\u578b\u6216\u2162\u578bCSP\u624b\u672f\u524d\u7684\u9884\u5904\u7406\uff1b\u624b\u672f\u540e\u7684\u8865\u5145\u6cbb\u7597\u3002\u5171\u8bc6\u660e\u786e\u6307\u51fa\uff0cCSP\u836f\u7269\u6cbb\u7597\u7684\u65f6\u95f4\u957f\uff0c\u5e76\u5b58\u5728\u8f83\u9ad8\u7684\u5931\u8d25\u7387\uff0c\u4e0d\u5e94\u4f5c\u4e3aCSP\u6cbb\u7597\u7684\u9996\u9009\uff3b1\uff3d<\/sup>\u3002<\/p>\n SMFM\u6307\u5357\u6ca1\u6709\u7ed9\u51fa\u660e\u786e\u7684CSP\u836f\u7269\u6cbb\u7597\u6307\u5f81\uff0c\u4f46\u5176\u5efa\u8bae\u9009\u62e9\u836f\u7269\u6cbb\u7597\u65f6\uff0c\u5e94\u91c7\u7528\u4f34\u6216\u4e0d\u4f34\u5176\u4ed6\u6cbb\u7597\u65b9\u5f0f\u7684\u598a\u5a20\u56ca\u5185MTX\u6ce8\u5c04\uff08GRADE 2C\uff09\uff1b\u4e0d\u5efa\u8bae\u5355\u72ec\u91c7\u7528MTX\u808c\u6ce8\uff08GRADE 1C\uff09\uff3b9\uff3d<\/sup>\uff0c\u56e0\u598a\u5a20\u56ca\u5185\u5c40\u90e8MTX\u6ce8\u5c04\u66f4\u52a0\u6709\u6548\uff0c\u5355\u72ecMTX\u808c\u6ce8\u7684\u5e76\u53d1\u75c7\u66f4\u9ad8\uff3b19\uff3d<\/sup>\u3002<\/p>\n \u836f\u7269\u6cbb\u7597\u540e\u598a\u5a20\u5305\u5757\u7684\u5438\u6536\u53ef\u80fd\u9700\u8981\u6570\u5468\u81f3\u6570\u6708\u3002\u5728\u6cbb\u7597\u540e\u7684\u89c2\u5bdf\u671f\u5185\uff0c\u5e94\u6ce8\u610f\u60a3\u8005\u6709\u65e0\u5927\u51fa\u8840\u4ee5\u53caAVM\u5f62\u6210\u3002<\/p>\n \u6709\u5c0f\u6837\u672c\u7684\u7814\u7a76\u62a5\u9053\u4e86\u598a\u5a20\u56ca\u5185KCI\u6ce8\u5c04\u6cbb\u7597CSP\u3002\u8fd9\u79cd\u65b9\u6cd5\u53ef\u80fd\u66f4\u9002\u5408\u540c\u65f6\u5b58\u5728\u5bab\u5185\u598a\u5a20\u7684\u590d\u5408\u6027CSP\uff0c\u56e0\u4e3aMTX\u5bf9\u5bab\u5185\u598a\u5a20\u5177\u6709\u80da\u80ce\u6bd2\u6027\u6216\u81f4\u7578\u6027\uff3b9\uff0c20\uff3d<\/sup>\u3002<\/p>\n \u624b\u672f\u6cbb\u7597<\/p>\n 2016\u5e74\u5171\u8bc6\u5c06CSP\u7684\u624b\u672f\u6cbb\u7597\u5206\u4e3a\u6e05\u5bab\u672f\u3001\u598a\u5a20\u7269\u6e05\u9664\u672f\u53ca\u5b50\u5bab\u7622\u75d5\u4fee\u8865\u672f\u3001\u5b50\u5bab\u5207\u9664\u672f\u3002<\/p>\n \u25aa \u6e05\u5bab\u672f\u5305\u62ec\u8d85\u58f0\u76d1\u6d4b\u4e0b\u6e05\u5bab\u672f\u3001\u5bab\u8154\u955c\u4e0b\u598a\u5a20\u7269\u6e05\u9664\u672f\u7b49\u3002<\/p>\n \u25aa \u598a\u5a20\u7269\u6e05\u9664\u672f\u548c\u5b50\u5bab\u7622\u75d5\u4fee\u8865\u672f\u53ef\u901a\u8fc7\u5f00\u8179\u3001\u8179\u8154\u955c\uff08\u6216\u8054\u5408\u5bab\u8154\u955c\uff09\uff0c\u4e5f\u6709\u62a5\u9053\u7ecf\u9634\u9053\u9014\u5f84\u624b\u672f\u3002<\/p>\n \u25aa \u5b50\u5bab\u5207\u9664\u672f\u662f\u5728\u7d27\u6025\u60c5\u51b5\u4e0b\u4e3a\u633d\u6551\u60a3\u8005\u751f\u547d\u6216\u60a3\u8005\u65e0\u751f\u80b2\u8981\u6c42\u65f6\u7684\u9009\u62e9\u3002<\/p>\n \u5171\u8bc6\u6307\u51fa\u5b55\u5468\uff1c8\u5468\u7684\u2160\u578bCSP\u53ef\u9009\u62e9\u6e05\u5bab\u672f\uff1b\u2161\u578b\u3001\u2162\u578b\u5efa\u8bae\u9009\u62e9\u598a\u5a20\u7269\u6e05\u9664\u672f\u53ca\u5b50\u5bab\u7622\u75d5\u4fee\u8865\u672f\uff1b\u5bf9\u4e8e\u672f\u4e2d\u51fa\u8840\u98ce\u9669\u9ad8\u8005\uff0c\u672f\u524d\u5e94\u8fdb\u884cMTX\u6216UAE\u7b49\u9884\u5904\u7406\uff3b1\uff0c3\uff3d<\/sup>\u3002<\/p>\n SMFM\u6307\u5357\u4e5f\u5c06\u624b\u672f\u6cbb\u7597\u5206\u4e3a\u6e05\u5bab\u672f\u3001\u598a\u5a20\u75c5\u7076\u5207\u9664\u672f\u53ca\u5168\u5b50\u5bab\u5207\u9664\u672f\uff0c\u4f46\u672a\u5bf9\u6bcf\u79cd\u624b\u672f\u65b9\u5f0f\u7ed9\u4e88\u5177\u4f53\u7684\u9002\u5e94\u8bc1\u3002\u4e0d\u8054\u5408\u5176\u4ed6\u6cbb\u7597\u65b9\u5f0f\u7684\u5355\u72ec\u6e05\u5bab\u672f\u5177\u6709\u5f88\u9ad8\u7684\u5e76\u53d1\u75c7\uff0c\u5305\u62ec\u5927\u51fa\u8840\u548c\u5b50\u5bab\u7a7f\u5b54\u3002\u76ee\u524d\u5404\u6587\u732e\u62a5\u9053\u6ca1\u6709\u5f88\u597d\u5730\u533a\u5206\u522e\u5bab\u672f\u53ca\u8d1f\u538b\u5438\u5f15\u672f\uff0c\u56e0\u6b64\u96be\u4ee5\u5bf9\u5404\u7814\u7a76\u8fdb\u884c\u6bd4\u8f83\u5206\u6790\u3002<\/p>\n SMFM\u5efa\u8bae\u53ef\u91c7\u7528\u8d85\u58f0\u76d1\u6d4b\u4e0b\u8d1f\u538b\u5438\u5f15\u672f\u6cbb\u7597CSP\uff0c\u4f46\u5e94\u907f\u514d\u91c7\u7528\u76f4\u63a5\u522e\u5bab\u672f\u6cbb\u7597CSP\uff08GRADE 2C\uff09\u3002\u5c3d\u7ba1\u62a5\u9053\u7684\u6570\u636e\u6709\u9650\uff0c\u4f46\u662f\u7ecf\u9634\u9053\u53ca\u7ecf\u8179\u8154\u955c\u4e0b\u598a\u5a20\u75c5\u7076\u5207\u9664\u672f\u5177\u6709\u6210\u529f\u7387\u9ad8\u53ca\u5e76\u53d1\u75c7\u4f4e\u7b49\u4f18\u70b9\uff3b8-9\uff3d<\/sup>\u3002\u56e0\u6b64SMFM\u5efa\u8bae\u91c7\u7528\u7ecf\u9634\u9053\u6216\u7ecf\u8179\u8154\u955c\u7622\u75d5\u598a\u5a20\u75c5\u7076\u5207\u9664\u672f\u6cbb\u7597CSP\u3002<\/p>\n \u5b50\u5bab\u5207\u9664\u662fCSP\u7684\u4e00\u79cd\u66ff\u4ee3\u6cbb\u7597\u65b9\u5f0f\uff0c\u4f46\u662f\u4e00\u822c\u4e3aCSP\u6cbb\u7597\u7684\u6700\u540e\u624b\u6bb5\uff0c\u53ef\u80fd\u4e3b\u8981\u9002\u5e94\u4e8e\u4e2d\u5b55\u671f\u7684CSP\u6216\u6ca1\u6709\u751f\u80b2\u8981\u6c42\u7684\u5973\u6027\uff3b9\uff3d<\/sup>\u3002<\/p>\n \u8f85\u52a9\u6cbb\u7597<\/p>\n SMFM\u6307\u5357\u4e2d\u63d0\u5230\u7684\u8f85\u52a9\u6cbb\u7597\u4e3b\u8981\u662fUAE\uff3b9\uff3d<\/sup>\u3002UAE\u4f5c\u4e3a\u4e00\u79cd\u5fae\u521b\u7684\u6cbb\u7597\u65b9\u5f0f\u5df2\u88ab\u7528\u4e8e\u4e0e\u5404\u79cd\u65b9\u5f0f\u8fdb\u884c\u7ec4\u5408\u6cbb\u7597CSP\u3002UAE\u53ef\u4ee5\u5355\u72ec\u4f7f\u7528\uff0c\u4e5f\u53ef\u4e0e\u6e05\u5bab\u672f\u3001MTX\u53ca\u5bab\u8154\u955c\u8054\u5408\u4f7f\u7528\uff0c\u56e0\u6b64\u96be\u4ee5\u8fdb\u884c\u5bf9\u6bd4\u5206\u6790\u3002UAE\u662f\u4e00\u79cd\u53ef\u4fdd\u7559\u5b50\u5bab\u548c\u751f\u80b2\u529b\u7684\u65b9\u6cd5\uff0c\u4f46\u662f\u5404\u7814\u7a76\u62a5\u9053\u7684\u7ed3\u5c40\u4e0d\u4e00\uff0c\u5bf9\u5176\u4ed6\u6cbb\u7597\u65b9\u6cd5\u7684\u8f85\u52a9\u4ef7\u503c\u4e5f\u9700\u8fdb\u4e00\u6b65\u7814\u7a76\uff3b7\uff0c9\uff3d<\/sup>\u3002<\/p>\n 2016\u5e74\u5171\u8bc6\u6307\u51faUAE\u53ef\u4f5c\u4e3aCSP\u7ec8\u6b62\u598a\u5a20\u65f6\u5927\u51fa\u8840\u7684\u7d27\u6025\u5904\u7406\uff1b\u4e5f\u53ef\u4f5c\u4e3a\u2161\u578b\u6216\u2162\u578bCSP\u6e05\u5bab\u6216\u75c5\u7076\u5207\u9664\u672f\u524d\u7684\u9884\u5904\u7406\uff3b1\uff3d<\/sup>\u3002\u4f46\u662f\u5b9e\u9645\u4e0a\uff0cUAE\u4ecd\u662f\u76ee\u524d\u6587\u732e\u62a5\u9053\u4e2d\u4f7f\u7528\u6700\u591a\u7684CSP\u6cbb\u7597\u65b9\u6cd5\u3002\u5404\u79cd\u7814\u7a76\u4e2d\u7597\u6548\u76f8\u5dee\u751a\u8fdc\u7684\u4e3b\u8981\u539f\u56e0\u662f\u5404\u79cd\u7ec4\u5408\u6cbb\u7597\u4e2dUAE\u7684\u5206\u7c7b\u4e0d\u540c\uff0c\u5982\u662f\u5c06UAE\u8054\u5408\u6e05\u5bab\u672f\u4f5c\u4e3a\u4e00\u79cd\u5355\u72ec\u7684\u6cbb\u7597\u65b9\u5f0f\uff0c\u8fd8\u662f\u5c06UAE\u5b9a\u4e49\u4e3a\u6e05\u5bab\u672f\u7684\u8f85\u52a9\u6cbb\u7597\uff3b2-3\uff3d<\/sup>\u3002Birch Petersen \u7b49\u63a8\u8350\u76845\u79cd\u9996\u9009\u6cbb\u7597\u65b9\u5f0f\u4e2d\u67093\u79cd\u76f4\u63a5\u4e0eUAE\u76f8\u5173\uff3b3\uff0c18\uff3d<\/sup>\u3002\u56e0\u6b64\uff0c\u5173\u4e8eUAE\u5728CSP\u6cbb\u7597\u4e2d\u7684\u4ef7\u503c\u5c1a\u9700\u8fdb\u4e00\u6b65\u7684\u5ba1\u89c6\u53ca\u7814\u7a76\u3002<\/p>\n \u5176\u4ed6<\/p>\n \u4e00\u4e9b\u65b0\u7684\u6280\u672f\u4e5f\u88ab\u7528\u4e8eCSP\u7684\u6cbb\u7597\uff0c\u5982HIFU\u53ca\u5bab\u8154\u7403\u56ca\u538b\u8feb\u7b49\uff3b9\uff3d<\/sup>\u3002\u5c0f\u6837\u672c\u7684\u7814\u7a76\u663e\u793a\uff0c\u5176\u5747\u5177\u6709\u8f83\u9ad8\u7684\u6cbb\u7597\u6210\u529f\u7387\uff0c\u4f46\u662f\u5c1a\u9700\u8fdb\u4e00\u6b65\u7684\u7814\u7a76\u8bc4\u4f30\u3002<\/p>\n CSP\u671f\u5f85\u6cbb\u7597\u7684\u7ba1\u7406<\/p>\n 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\uff3b1\uff3d\u4e2d\u534e\u533b\u5b66\u4f1a\u5987\u4ea7\u79d1\u5b66\u5206\u4f1a\u8ba1\u5212\u751f\u80b2\u5b66\u7ec4. \u5256\u5bab\u4ea7\u672f\u540e\u5b50\u5bab\u7622\u75d5\u598a\u5a20\u8bca\u6cbb\u4e13\u5bb6\u5171\u8bc6\uff082016\uff09\uff3bJ\uff3d. \u4e2d\u534e\u5987\u4ea7\u79d1\u6742\u5fd7\uff0c2016\uff0c51\uff088\uff09\uff1a568-572<\/p>\n \uff3b2\uff3d\u4e2d\u534e\u533b\u5b66\u4f1a\u8ba1\u5212\u751f\u80b2\u5b66\u5206\u4f1a. \u5256\u5bab\u4ea7\u7622\u75d5\u598a\u5a20\u8bca\u65ad\u4e0e\u6cbb\u7597\u5171\u8bc6\uff3bJ\uff3d. \u4e2d\u534e\u533b\u5b66\u6742\u5fd7\uff0c2012\uff0c92\uff0825\uff09\uff1a1731-1733<\/p>\n \uff3b3\uff3d\u6b27\u9633\u632f\u6ce2\uff0c\u949f\u78a7\u5a77\uff0c\u5f20\u827a\uff0c\u7b49. \u5256\u5bab\u4ea7\u7622\u75d5\u598a\u5a20\u7684\u6cbb\u7597\u8fdb\u5c55\uff3bJ\uff3d. \u73b0\u4ee3\u5987\u4ea7\u79d1\u8fdb\u5c55\uff0c2018\uff0c27\uff088\uff09\uff1a622-624<\/p>\n \uff3b4\uff3d\u949f\u78a7\u5a77\uff0c\u5434\u5609\u96ef\uff0c\u6b27\u9633\u632f\u6ce2\uff0c\u7b49. 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J Reprod Med\uff0c2018\uff0c63\uff088\uff09\uff1a397-401<\/p>\n","protected":false},"excerpt":{"rendered":" \u4f5c\u8005\uff1a\u6b27\u9633\u632f\u6ce2\uff0c\u7f57\u51e4\u519b\uff0c\u949f\u78a7\u5a77\uff0c\u5434\u5609\u96ef … \u7ee7\u7eed\u9605\u8bfb