刮宫术治疗剖宫产瘢痕妊娠：4例报告并文献复习
Management of cesarean scar pregnancy with suction curettage: a report of four cases and review of the literature.
作者信息
Bayoglu Tekin Yeşim, Mete Ural Ulku, Balık Gulşah, Ustuner Isık, Kır Şahin Figen, Güvendağ Güven Emine Seda
机构信息
Department of Obstetrics and Gynecology, School of Medicine, Recep Tayyip Erdoğan University, İslampaşa Mah, 53200, Rize, Turkey,
出版信息
Arch Gynecol Obstet. 2014 Jun;289(6):1171-5. doi: 10.1007/s00404-014-3143-6. Epub 2014 Jan 25.
PURPOSE
To present the outcomes of four cases of cesarean scar pregnancy treated with suction curettage.
METHODS
Four patients were ultrasonographically diagnosed with cesarean scar pregnancies treated with suction curettage in a tertiary care center.
RESULTS
Serum β-human chorionic gonadotropin levels ranged between 1,681 and 15,573 mU/mL, gestational sac diameter measured from 10 to 24 mm and scar thickness was between 4.7 and 6.8 mm. All patients underwent suction curettage under general anesthesia with transabdominal ultrasonography guidance. No complications were observed during or after operation.
CONCLUSION
Suction curettage is a viable alternative for conservative treatment in selected cases of patients who are diagnosed with CSP early in gestation and who have a myometrial thickness of more than 4.5 mm.
目的
介绍4例采用刮宫术治疗剖宫产瘢痕妊娠的结果。
方法
4例患者经超声诊断为剖宫产瘢痕妊娠，在一家三级医疗中心接受刮宫术治疗。
结果
血清β-人绒毛膜促性腺激素水平在1681至15573 mU/mL之间，妊娠囊直径为10至24 mm，瘢痕厚度在4.7至6.8 mm之间。所有患者均在全身麻醉下经腹部超声引导下行刮宫术。术中及术后均未观察到并发症。
结论
对于妊娠早期诊断为剖宫产瘢痕妊娠且子宫肌层厚度超过4.5 mm的部分患者，刮宫术是一种可行的保守治疗替代方法。
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