三维能量多普勒超声诊断与保守治疗剖宫产瘢痕部位异位妊娠
Three-dimensional power Doppler ultrasound diagnosis and conservative treatment of ectopic pregnancy in a cesarean section scar.
作者信息
Pascual Maria Angela, Hereter Lourdes, Graupera Betlem, Tresserra Francisco, Fernandez-Cid Maria, Simon Marta
机构信息
Department of Obstetrics and Gynecology, Institut Universitari Dexeus, Barcelona, Spain.
出版信息
Fertil Steril. 2007 Sep;88(3):706.e5-7. doi: 10.1016/j.fertnstert.2006.11.183. Epub 2007 Apr 9.
OBJECTIVE
To describe three-dimensional ultrasonographic features of an ectopic pregnancy in a cesarean scar.
DESIGN
Description of a case.
SETTING
Case report of one patient.
PATIENT(S): A 38-year-old women with three previous cesarean deliveries.
INTERVENTION(S): Three-dimensional ultrasonography was performed for diagnosis and treatment.
MAIN OUTCOME MEASURE(S): Local administration of methotrexate under ultrasonographic guidance.
RESULT(S): Ultrasonographic study revealed a gestational sac in the anterior wall of the uterine isthmus with peritrophoblastic flow. It was treated conservatively and successfully with local methotrexate administration under ultrasonographic guidance.
CONCLUSION(S): The early diagnosis of ectopic cesarean scar pregnancy allows the conservative treatment with local administration of methotrexate under ultrasonographic guidance.
目的
描述剖宫产瘢痕部位异位妊娠的三维超声特征。
设计
病例描述。
地点
一名患者的病例报告。
患者
一名有三次剖宫产史的38岁女性。
干预措施
采用三维超声进行诊断和治疗。
主要观察指标
在超声引导下局部注射甲氨蝶呤。
结果
超声检查显示子宫峡部前壁有一个妊娠囊，周围有滋养层血流信号。在超声引导下局部注射甲氨蝶呤进行保守治疗，治疗成功。
结论
剖宫产瘢痕部位异位妊娠的早期诊断使得在超声引导下局部注射甲氨蝶呤进行保守治疗成为可能。
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