剖宫产瘢痕部位异位妊娠的保守治疗
Conservative treatment of ectopic pregnancy in a cesarean scar.
作者信息
Graesslin Olivier, Dedecker Frédéric, Quereux Christian, Gabriel René
机构信息
Institut Mère Enfant Alix de Champagne, Service de Gynécologie-Obstétrique, CHRU, Reims, France.
出版信息
Obstet Gynecol. 2005 Apr;105(4):869-71. doi: 10.1097/01.AOG.0000141569.75297.44.
BACKGROUND
Pregnancy developing in a cesarean scar is a very rare but possibly life-threatening condition because of the risk of rupture and excessive hemorrhage.
CASE
A 34-year-old woman presented with lower abdominal pain at 6 weeks of gestation. A cesarean delivery had been performed 3 years earlier. Transvaginal ultrasound examination revealed a viable pregnancy developing in the anterior wall of the uterus. The patient was treated successfully with systemic methotrexate and curettage.
CONCLUSION
Conservative management with methotrexate and curettage can be considered in the treatment of ectopic cesarean scar pregnancy.
背景
剖宫产瘢痕妊娠是一种非常罕见但可能危及生命的情况，因为存在破裂和大出血的风险。
病例
一名34岁女性在妊娠6周时出现下腹痛。3年前曾行剖宫产。经阴道超声检查显示子宫前壁有一存活妊娠。患者经全身甲氨蝶呤治疗及刮宫后成功治愈。
结论
对于剖宫产瘢痕妊娠，可考虑采用甲氨蝶呤和刮宫的保守治疗方法。
Zotero 插件