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腹腔镜处理剖宫产术后子宫瘢痕妊娠:两例病例报告并结合不同手术技术的视频演示和文献复习。

Laparoscopic management of cesarean scar pregnancy: Report of two cases with video-presentation of different operative techniques and literature review.

机构信息

Endoscopic Surgery Unit, 1st Department of Obstetrics & Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, Athens, Greece.

Endoscopic Surgery Unit, 1st Department of Obstetrics & Gynecology, National and Kapodistrian University of Athens, "Alexandra" Hospital, Athens, Greece.

出版信息

J Gynecol Obstet Hum Reprod. 2021 Oct;50(8):102066. doi: 10.1016/j.jogoh.2021.102066. Epub 2021 Jan 20.

Abstract

Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. We present two different techniques of laparoscopic management of CSP, with the concomitant repair of the coexisting uterine isthmocele. The first case is a combination of diagnostic hysteroscopy and laparoscopic extraction of conception products, and the second technique is a combination of laparoscopy and guided Dilation & Curettage. We also conducted a thorough review of the literature to present all cases of laparoscopic treatment of CSP, focusing on the surgical technique, the operation outcome, and the future pregnancies. Laparoscopy is a potential effective treatment of CSP.

摘要

剖宫产术后子宫瘢痕妊娠(CSP)是一种罕见的异位妊娠形式。我们介绍了两种不同的腹腔镜处理 CSP 的技术,同时修复并存的子宫峡部憩室。第一个病例是诊断性宫腔镜检查和腹腔镜下取出妊娠产物的联合应用,第二个技术是腹腔镜和引导性刮宫术的联合应用。我们还对文献进行了全面回顾,介绍了所有腹腔镜治疗 CSP 的病例,重点介绍了手术技术、手术结果和未来妊娠。腹腔镜是治疗 CSP 的一种潜在有效方法。

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