剖宫产瘢痕部位妊娠：一例报告
Successful pregnancy located in a uterine cesarean scar: A case report.
作者信息
Tamada Shoko, Masuyama Hisashi, Maki Jota, Eguchi Takeshi, Mitsui Takashi, Eto Eriko, Hayata Kei, Hiramatsu Yuji
机构信息
Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata, Kita-ku, Okayama 700-8558, Japan.
出版信息
Case Rep Womens Health. 2017 Mar 23;14:8-10. doi: 10.1016/j.crwh.2017.03.003. eCollection 2017 Apr.
Abstract
Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. Because CSP carries a high risk of uterine rupture and life-threatening bleeding, the pregnancy should be terminated upon confirmation of diagnosis. There have been few reports of CSP with successful delivery. We present a case of CSP under expectant management, with delivery via planned cesarean section at 35 weeks of gestation. This report suggests that successful pregnancy outcome can be achieved in some women with uterine cesarean scar, but further analysis and additional studies are required in order to describe the optimal protocol of expectant management in CSP.
摘要
剖宫产瘢痕妊娠（CSP）是一种罕见的异位妊娠形式。由于CSP具有子宫破裂和危及生命的出血的高风险，一经确诊应终止妊娠。关于CSP成功分娩的报道很少。我们报告一例在期待治疗下的CSP病例，在妊娠35周时通过计划剖宫产分娩。本报告表明，一些有子宫剖宫产瘢痕的女性可以获得成功的妊娠结局，但需要进一步分析和更多研究以描述CSP期待治疗的最佳方案。
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