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Concomitant ultrasound-guided intra-gestational sac methotrexate-potassium chloride and systemic methotrexate injection in the recurrent cesarean scar pregnancy.

作者信息

Lee Ju Hak, Kwon Dae Hui, Ahn Ki Hoon, Hong Soon Cheol, Kim Tak

机构信息

Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.

出版信息

Obstet Gynecol Sci. 2016 May;59(3):245-8. doi: 10.5468/ogs.2016.59.3.245. Epub 2016 May 13.

DOI:10.5468/ogs.2016.59.3.245
PMID:27200318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4871944/
Abstract

Recurrent ectopic pregnancy of cesarean scar is very rare and its therapeutic management is still not established. We reported the first case of recurrent cesarean scar pregnancy that was successfully treated with concomitant intra-gestational sac methotrexate-potassium chloride injection and systemic methotrexate injection. This case study provides physicians with a safe and effective minimally invasive treatment option for recurrent cesarean scar pregnancy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e936/4871944/944d0dea5a0c/ogs-59-245-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e936/4871944/c668f8c2a56b/ogs-59-245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e936/4871944/944d0dea5a0c/ogs-59-245-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e936/4871944/c668f8c2a56b/ogs-59-245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e936/4871944/944d0dea5a0c/ogs-59-245-g002.jpg

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本文引用的文献

1
Role of sonography in the recognition, assessment, and treatment of cesarean scar ectopic pregnancies.
J Ultrasound Med. 2008 May;27(5):779-83. doi: 10.7863/jum.2008.27.5.779.
2
Successful treatment of a recurrent Cesarean scar ectopic pregnancy by surgical repair of the uterine defect.
Ultrasound Obstet Gynecol. 2006 Nov;28(6):855-6. doi: 10.1002/uog.3843.
3
Limitations of conservative treatment for repeat Cesarean scar pregnancy.
Ultrasound Obstet Gynecol. 2005 Mar;25(3):310-1. doi: 10.1002/uog.1843.
4
Subsequent pregnancy outcome after conservative treatment of a previous cesarean scar pregnancy.既往剖宫产瘢痕妊娠保守治疗后的后续妊娠结局
Acta Obstet Gynecol Scand. 2004 Dec;83(12):1167-72. doi: 10.1111/j.0001-6349.2004.00445.x.
5
Cesarean scar pregnancy: issues in management.剖宫产瘢痕妊娠：管理中的问题
Ultrasound Obstet Gynecol. 2004 Mar;23(3):247-53. doi: 10.1002/uog.974.
6
Ectopic pregnancies in Caesarean section scars: the 8 year experience of one medical centre.剖宫产瘢痕部位异位妊娠：一家医疗中心的8年经验
Hum Reprod. 2004 Feb;19(2):278-84. doi: 10.1093/humrep/deh060.
7
Ectopic pregnancy within a cesarean scar: a review.剖宫产瘢痕部位的异位妊娠：综述
Obstet Gynecol Surv. 2002 Aug;57(8):537-43. doi: 10.1097/00006254-200208000-00024.
8
Ultrasound diagnosis of a pregnancy in a Cesarean section scar.剖宫产瘢痕部位妊娠的超声诊断
Ultrasound Obstet Gynecol. 2001 Nov;18(5):547-9. doi: 10.1046/j.0960-7692.2001.00569.x.
9
Pregnancy in a uterine scar sacculus--an unusual cause of postabortal haemorrhage. A case report.
S Afr Med J. 1978 Jan 28;53(4):142-3.