剖宫产瘢痕部位妊娠。
Cesarean scar molar pregnancy.
机构信息
From the Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Pok Fu Lam, Hong Kong.
出版信息
Obstet Gynecol. 2012 Feb;119(2 Pt 2):449-451. doi: 10.1097/AOG.0b013e3182322f31.
BACKGROUND
Molar pregnancy found in a cesarean scar is exceedingly rare. It can be challenging to manage and can have potentially catastrophic consequences.
CASE
A 34-year-old multigravid woman presented with persistent symptoms of pregnancy after a surgical termination of pregnancy. Cesarean scar molar pregnancy was suspected on ultrasonography, and suction evacuation was performed under ultrasound guidance. This was followed by bimanual compression, oxytocin, and uterine artery embolization to reduce bleeding.
CONCLUSION
A high index of suspicion is needed for early diagnosis and management of cesarean scar molar pregnancy.
背景
剖宫产瘢痕部位妊娠十分罕见。这种妊娠的处理极具挑战性，可能会导致灾难性的后果。
病例报告
一位 34 岁的多产妇因人工终止妊娠术后持续妊娠症状就诊。超声检查提示剖宫产瘢痕部位妊娠，在超声引导下行吸宫术。术后行双手压迫、缩宫素和子宫动脉栓塞术以减少出血。
结论
对于剖宫产瘢痕部位妊娠，需要高度警惕，以便早期诊断和处理。
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