Hsieh Bih-Chwen, Hwang Jiann-Loung, Pan Hun-Shan, Huang Shih-Chia, Chen Chin-Yu, Chen Pei-Hsin
Department of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, and School of Medicine, Fu Jen Catholic University, Taipei, Taiwan.
Hum Reprod. 2004 Feb;19(2):285-7. doi: 10.1093/humrep/deh080.
Ectopic pregnancy situated in a Caesarean section scar is a rare but potentially life-threatening event. Because of its rarity, there are no universal treatment guidelines to manage this condition. We report a case of IVF-induced triplet heterotopic pregnancy of early gestational age that included one Caesarean scar pregnancy diagnosed as early as 6 weeks gestation. Treatment with embryo aspiration under vaginal ultrasonography for selective embryo reduction was given and the concurrent intrauterine twin pregnancy was preserved successfully.
剖宫产瘢痕部位的异位妊娠是一种罕见但可能危及生命的情况。由于其罕见性，目前尚无通用的治疗指南来处理这种情况。我们报告一例体外受精（IVF）诱导的早孕三胎异位妊娠病例，其中包括一例早在妊娠6周时就被诊断出的剖宫产瘢痕妊娠。在阴道超声引导下进行胚胎抽吸以选择性减胎治疗，并成功保留了同期的宫内双胎妊娠。
