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[腹腔镜治疗既往剖宫产瘢痕部位异位妊娠]

[Laparoscopic management of an ectopic pregnancy in a previous caesarean section scar].

作者信息

Spychała Przemysław, Nowakowski Błazej

机构信息

SZOZ nad Matka i Dzieckiem w Poznaniu, Oddział Ginekologiczno-Połozniczy, Poznań.

出版信息

Ginekol Pol. 2012 Aug;83(8):622-5.

Abstract

Pregnancy in a caesarean section scar is the rarest form of an ectopic pregnancy English language literature up to 2007 reports only about 70 cases, including three cases treated laparoscopically. A 25-year-old woman in the sixth week of pregnancy was admitted to our hospital due to profuse vaginal bleeding. During clinical and ultrasound tests, an unruptured ectopic pregnancy of 6 gestational weeks was found in the caesarean section scar. The treatment plan included two phases. Three days after a Methotrexate injection (80mg), the pregnancy was removed laparoscopically Laparoscopy enabled a successful treatment of the unruptured ectopic pregnancy in a previous caesarean scar and made it possible to preserve the reproductive capability of the patient.

摘要

剖宫产瘢痕妊娠是异位妊娠中最罕见的形式,截至2007年的英文文献仅报道了约70例,其中包括3例腹腔镜治疗的病例。一名怀孕六周的25岁女性因大量阴道出血入院。在临床和超声检查中,发现剖宫产瘢痕处有一例未破裂的6孕周异位妊娠。治疗方案包括两个阶段。注射甲氨蝶呤(80mg)三天后,通过腹腔镜切除妊娠物。腹腔镜手术成功治疗了既往剖宫产瘢痕处未破裂的异位妊娠,并保留了患者的生殖能力。

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