Department of Obstetrics and Gynaecology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
BJOG. 2011 Aug;118(9):1136-9. doi: 10.1111/j.1471-0528.2011.02891.x. Epub 2011 Apr 12.
From December 2009 to April 2010, six patients with caesarean scar pregnancies (CSPs) underwent the transvaginal removal of ectopic pregnancy tissue and repair of a uterine defect. Transvaginal surgery was performed uneventfully in all cases. The operating time ranged from 45 to 80 minutes. Blood loss ranged from 50 to 150 ml. Serum β-hCG (β-subunit of human chorionic gonadotrophin) levels declined to normal levels within a month for all patients, and all patients recovered without complications. Our results show that the transvaginal removal of ectopic pregnancy tissue and repair of the uterine defect is effective, safe, and minimally invasive for patients with CSP.
从 2009 年 12 月至 2010 年 4 月，6 例剖宫产瘢痕妊娠（CSP）患者接受了经阴道异位妊娠组织清除和子宫缺陷修复。所有病例均顺利进行了经阴道手术。手术时间为 45 至 80 分钟不等。出血量为 50 至 150 毫升。所有患者的血清β-hCG（人绒毛膜促性腺激素β亚单位）水平在一个月内降至正常水平，所有患者均未出现并发症而康复。我们的结果表明，对于 CSP 患者，经阴道清除异位妊娠组织和修复子宫缺陷是有效、安全且微创的。
