Song Ji Won, Ju Da Hye, Yi Sang Wook, Lee Joo Hee, Sohn Woo Seok, Lee Sang Soo
Department of Obstetrics and Gynecology, Seoul Asan Hospital, University of Ulsan College of Medicine, Seoul, Korea.
Department of Obstetrics and Gynecology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
J Clin Ultrasound. 2018 Mar;46(3):222-226. doi: 10.1002/jcu.22490. Epub 2017 Apr 25.
A cesarean scar pregnancy is a rare type of ectopic pregnancy. Induced abortion by local methotrexate (MTX) injection is an effective management approach. We describe a case in which a large intrauterine vascular lesion appeared after the sonographic-guided local injection of MTX, which successfully induced the abortion of the cesarean scar pregnancy. Although a cesarean scar pregnancy may be safely treated with a local MTX injection, close follow-up, including serum β-human chorionic gonadotropin level measurement and Doppler sonography, is needed because an intrauterine vascular lesion could develop even after a successfully induced abortion. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:222-226, 2018.
剖宫产瘢痕妊娠是一种罕见的异位妊娠类型。局部注射甲氨蝶呤（MTX）引产是一种有效的治疗方法。我们描述了一例在超声引导下局部注射MTX后出现大的宫内血管病变的病例，该病变成功诱导了剖宫产瘢痕妊娠流产。虽然局部注射MTX可安全治疗剖宫产瘢痕妊娠，但由于即使引产成功后仍可能发生宫内血管病变，因此需要密切随访，包括检测血清β-人绒毛膜促性腺激素水平和进行多普勒超声检查。© 2017威利期刊公司。《临床超声杂志》2018年第46卷：222 - 226页 。
