Department of Obstetrics and Gynecology, Ulm University, Ulm, Germany.
Rev Bras Ginecol Obstet. 2021 Apr;43(4):311-316. doi: 10.1055/s-0041-1728781. Epub 2021 May 12.
A cesarean scar pregnancy (CSP) is a scary and life-threatening complication of cesarean section (CS). Nevertheless, the incidence of CS is constantly growing. The CSP incidence is 0,15% of pregnancies after CS which represents 6,1% of all ectopic pregnancies in women with condition after CS. Therefore, it should be more present in the clinical daily routine. From mild nonspecific symptoms to hypovolemic shock, diagnosis and therapy must be performed quickly. With the progressive growth of the scar pregnancy, a uterine rupture involves the risk of severe bleeding, and an emergency hysterectomy could be necessary. Prolongation of pregnancy has been successful only in a few cases. We report 11 cases from our hospital in the past 10 years. In the discussion, treatment options of this complication with an increasing incidence, which is associated with serious morbidity and mortality, are presented based on the current literature. Treatment options include drug therapy, but also surgical or combined procedures with radiological intervention.
剖宫产瘢痕妊娠（CSP）是剖宫产（CS）的一种可怕且危及生命的并发症。尽管如此，CS 的发生率仍在不断上升。CSP 在 CS 后妊娠中的发生率为 0.15%，占 CS 后所有异位妊娠的 6.1%。因此，它应该在临床日常工作中更为常见。从轻微的非特异性症状到低血容量性休克，诊断和治疗必须迅速进行。随着瘢痕妊娠的逐渐生长，子宫破裂会导致严重出血的风险，可能需要紧急子宫切除术。只有在少数情况下，妊娠才能延长。我们在过去 10 年中报告了来自我们医院的 11 例病例。在讨论中，根据当前文献，介绍了这种发病率不断上升的并发症的治疗选择，因为它与严重的发病率和死亡率相关。治疗选择包括药物治疗，也包括手术或联合放射介入治疗。
