超声在诊断剖宫产瘢痕妊娠中的应用及价值：三例报告
Use and value of ultrasound in diagnosing cesarean scar pregnancy: a report of three cases.
作者信息
Buresch Arin M, Chavez Martin R, Kinzler Wendy, Vintzileos Anthony M
出版信息
J Reprod Med. 2014 Sep-Oct;59(9-10):517-21.
BACKGROUND
The incidence of cesarean scar pregnancy (CSP) is rising due to the increasing numbers of cesarean deliveries in the United States. However, little is known with respect to epidemiology, best screening methodologies, and treatment options.
CASES
Three patients in their first trimester of pregnancy presented with a history of cesarean delivery and were diagnosed by pelvic ultrasound as having CSP. Methods of treatment included definitive surgery with hysterectomy or conservative management with methotrexate and lidocaine injection into the gestational sac.
CONCLUSION
In patients with prior cesarean delivery, careful attention to all possible ultrasound signs of CSP during routine first trimester ultrasound is important for an early diagnosis, which can allow for various treatment options.
背景
由于美国剖宫产分娩数量的增加，剖宫产瘢痕妊娠（CSP）的发生率正在上升。然而，关于其流行病学、最佳筛查方法和治疗选择知之甚少。
病例
三名处于妊娠早期的患者有剖宫产史，经盆腔超声诊断为CSP。治疗方法包括行子宫切除术的确定性手术或采用甲氨蝶呤及向妊娠囊内注射利多卡因的保守治疗。
结论
对于有剖宫产史的患者，在孕早期常规超声检查时仔细留意CSP的所有可能超声征象对于早期诊断很重要，这可以提供多种治疗选择。
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