• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

剖宫产瘢痕部位异位妊娠:诊断与处理的挑战

Cesarean Scar Ectopic Pregnancy: A Diagnostic and Management Challenge.

作者信息

Jameel Koulshan, Abdul Mannan Gul-E-Rana, Niaz Rabiya, Hayat Durr-E-Shahwar

机构信息

Obstetrics and Gynecology, Canadian Specialist Hospital, Dubai, ARE.

Radiology, Dr. Ziauddin University Hospital, Karachi, PAK.

出版信息

Cureus. 2021 Apr 13;13(4):e14463. doi: 10.7759/cureus.14463.

DOI:10.7759/cureus.14463
PMID:33996323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8118189/
Abstract

Cesarean section scar pregnancy is the rarest form of ectopic pregnancy. Cesarean scar ectopic pregnancy poses a diagnostic and management challenge, and if not diagnosed and adequately treated in early pregnancy, it may lead to considerable maternal morbidity or mortality. We describe the presentation, workup including radiology studies, and subsequent management plan of a cesarean scar ectopic pregnancy in a 34-year-old female with a history of four previous cesarean sections. We were successful in treating this rare form of ectopic pregnancy without any maternal morbidity with a combination of medical and surgical management.

摘要

剖宫产瘢痕妊娠是异位妊娠中最罕见的形式。剖宫产瘢痕异位妊娠带来了诊断和处理方面的挑战,如果在妊娠早期未得到诊断和充分治疗,可能导致相当严重的母体发病或死亡。我们描述了一名有四次剖宫产史的34岁女性剖宫产瘢痕异位妊娠的临床表现、包括影像学检查在内的检查过程以及后续处理方案。我们通过药物和手术联合治疗成功治愈了这种罕见的异位妊娠形式,且未给母体带来任何不良后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f8/8118189/87a326849c35/cureus-0013-00000014463-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f8/8118189/d526503219ae/cureus-0013-00000014463-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f8/8118189/87a326849c35/cureus-0013-00000014463-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f8/8118189/d526503219ae/cureus-0013-00000014463-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17f8/8118189/87a326849c35/cureus-0013-00000014463-i02.jpg

相似文献

1
Cesarean Scar Ectopic Pregnancy: A Diagnostic and Management Challenge.剖宫产瘢痕部位异位妊娠:诊断与处理的挑战
Cureus. 2021 Apr 13;13(4):e14463. doi: 10.7759/cureus.14463.
2
Laparoscopic Excision of Cesarean Scar Ectopic Pregnancy: An Optimum Management Option.腹腔镜下剖宫产瘢痕部位异位妊娠切除术:一种最佳治疗方案
Gynecol Minim Invasive Ther. 2024 May 13;13(2):119-122. doi: 10.4103/gmit.gmit_83_23. eCollection 2024 Apr-Jun.
3
Cesarean Scar Ectopic Pregnancy: A Rare Case.剖宫产瘢痕部位异位妊娠:1例罕见病例
Cureus. 2024 Feb 26;16(2):e54920. doi: 10.7759/cureus.54920. eCollection 2024 Feb.
4
Laparoscopic Resection of Cesarean Scar Ectopic Pregnancy.剖宫产瘢痕部位异位妊娠的腹腔镜切除术
J Minim Invasive Gynecol. 2017 May-Jun;24(4):533-535. doi: 10.1016/j.jmig.2016.11.006. Epub 2016 Nov 17.
5
Cesarean section scar ectopic pregnancy - a management conundrum: a case report.剖宫产瘢痕部位异位妊娠——一个治疗难题:病例报告
J Med Case Rep. 2019 May 10;13(1):137. doi: 10.1186/s13256-019-2069-9.
6
[Cesarean scar ectopic pregnancy: a case report].[剖宫产瘢痕部位异位妊娠:一例报告]
Rev Bras Ginecol Obstet. 2008 Oct;30(10):518-23. doi: 10.1590/s0100-72032008001000007.
7
Laparoscopic Resection of Cesarean Scar Ectopic Pregnancy after Unsuccessful Systemic Methotrexate Treatment.腹腔镜下治疗甲氨蝶呤治疗失败的剖宫产术后子宫瘢痕部位妊娠。
J Minim Invasive Gynecol. 2019 Mar-Apr;26(3):399-400. doi: 10.1016/j.jmig.2018.06.003. Epub 2018 Jun 8.
8
Cesarean Scar Ectopic Pregnancy-Case Series: Treatment Decision Algorithm and Success with Medical Treatment.剖宫产瘢痕部位异位妊娠——病例系列:治疗决策算法及药物治疗的成效
Medicina (Kaunas). 2021 Apr 8;57(4):362. doi: 10.3390/medicina57040362.
9
Cesarean Scar Ectopic Pregnancy: Laparoscopic Resection and Total Scar Dehiscence Repair.剖宫产瘢痕部位妊娠:腹腔镜下病灶切除术及全子宫瘢痕憩室修补术。
J Minim Invasive Gynecol. 2018 Feb;25(2):297-298. doi: 10.1016/j.jmig.2017.01.022. Epub 2017 Feb 4.
10
Scar Ectopic Pregnancy as an Uncommon Site of Ectopic Pregnancy: A Case Report and Literature Review.瘢痕部位异位妊娠作为一种罕见的异位妊娠部位:一例病例报告及文献综述
Life (Basel). 2023 Oct 31;13(11):2151. doi: 10.3390/life13112151.

引用本文的文献

1
High-risk Pregnancy: Cesarean Scar Ectopic.高危妊娠:剖宫产瘢痕部位妊娠
Gynecol Minim Invasive Ther. 2025 Jul 19;14(3):281-282. doi: 10.4103/gmit.GMIT-D-25-00009. eCollection 2025 Jul-Sep.
2
Caesarean Scar Pregnancy Presenting With Septic Shock and Multiorgan Dysfunction in a High-Risk Cardiac Patient: A Case Report.高危心脏病患者剖宫产瘢痕妊娠合并感染性休克及多器官功能障碍:一例报告
Cureus. 2025 Jun 18;17(6):e86293. doi: 10.7759/cureus.86293. eCollection 2025 Jun.
3
Treatment of Cesarean Scar Ectopic Pregnancy with Hysteroscopic Resection.

本文引用的文献

1
The effects of methotrexate and uterine arterial embolization in patients with cesarean scar pregnancy: A retrospective case-control study.甲氨蝶呤与子宫动脉栓塞术对剖宫产瘢痕妊娠患者的影响:一项回顾性病例对照研究
Medicine (Baltimore). 2019 Mar;98(11):e14913. doi: 10.1097/MD.0000000000014913.
2
Cesarean Scar Ectopic Pregnancy: Current Management Strategies.剖宫产术后子宫瘢痕部位妊娠:当前的管理策略。
Obstet Gynecol Surv. 2018 May;73(5):293-302. doi: 10.1097/OGX.0000000000000561.
3
Diagnosis and Management of Ectopic Pregnancy: Green-top Guideline No. 21.
宫腔镜切除术治疗剖宫产瘢痕部位异位妊娠
Gynecol Minim Invasive Ther. 2025 Mar 15;14(2):170-173. doi: 10.4103/gmit.gmit_28_24. eCollection 2025 Apr-Jun.
4
Hemodynamically stable despite ruptured cesarean scar ectopic pregnancy: a case report and literature review.剖宫产瘢痕妊娠破裂但血流动力学稳定:一例报告及文献复习
Ann Med Surg (Lond). 2025 Mar 5;87(3):1646-1651. doi: 10.1097/MS9.0000000000003054. eCollection 2025 Mar.
5
Magnetic resonance imaging after laparotomy of fetal evacuation in advanced abdominal pregnancy.晚期腹腔妊娠胎儿取出术后的磁共振成像
Radiol Case Rep. 2024 Dec 19;20(3):1435-1438. doi: 10.1016/j.radcr.2024.11.051. eCollection 2025 Mar.
6
A Systematic Review about Cervical Pregnancy and our Experience.关于宫颈妊娠的系统评价及我们的经验
Acta Med Litu. 2024;31(1):92-101. doi: 10.15388/Amed.2024.31.1.13. Epub 2024 Feb 27.
7
Cesarean Scar Pregnancy With Surgical and Conservative Managements: A Case Report.剖宫产瘢痕妊娠的手术及保守治疗:一例报告
Cureus. 2024 May 29;16(5):e61311. doi: 10.7759/cureus.61311. eCollection 2024 May.
8
Laparoscopic Management of Cesarean Scar Pregnancy with Temporary Clipping of Anterior Trunk of Hypogastric Arteries: A Case Report.腹腔镜下处理剖宫产瘢痕妊娠并临时夹闭髂内动脉前干:一例报告
J Pers Med. 2024 Apr 28;14(5):469. doi: 10.3390/jpm14050469.
9
Scar Ectopic Pregnancy as an Uncommon Site of Ectopic Pregnancy: A Case Report and Literature Review.瘢痕部位异位妊娠作为一种罕见的异位妊娠部位:一例病例报告及文献综述
Life (Basel). 2023 Oct 31;13(11):2151. doi: 10.3390/life13112151.
10
Perceptions of Obstetrics/Gynecology Surgeons on Non-medically Indicated Cesarean Sections: A Cross-Sectional Study.妇产科外科医生对非医学指征剖宫产的看法:一项横断面研究。
Cureus. 2023 Sep 1;15(9):e44508. doi: 10.7759/cureus.44508. eCollection 2023 Sep.
异位妊娠的诊断与管理:第21号绿帽指南
BJOG. 2016 Dec;123(13):e15-e55. doi: 10.1111/1471-0528.14189. Epub 2016 Nov 3.
4
Trends in ectopic pregnancy mortality in the United States: 1980-2007.美国宫外孕死亡率趋势:1980-2007 年。
Obstet Gynecol. 2011 Apr;117(4):837-843. doi: 10.1097/AOG.0b013e3182113c10.
5
Caesarean scar pregnancy.剖宫产瘢痕妊娠
BJOG. 2007 Mar;114(3):253-63. doi: 10.1111/j.1471-0528.2006.01237.x.
6
Cesarean scar ectopic pregnancies: etiology, diagnosis, and management.剖宫产瘢痕部位异位妊娠:病因、诊断与处理
Obstet Gynecol. 2006 Jun;107(6):1373-81. doi: 10.1097/01.AOG.0000218690.24494.ce.
7
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.
8
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.
9
Sonographic diagnosis of a uterine defect in a pregnancy at 6 weeks' gestation with a history of curettage.超声诊断妊娠6周有刮宫史孕妇的子宫缺陷。
Ultrasound Obstet Gynecol. 2003 May;21(5):501-3. doi: 10.1002/uog.109.
10
First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar.孕早期植入子宫下段剖宫产瘢痕处妊娠的诊断与处理
Ultrasound Obstet Gynecol. 2003 Mar;21(3):220-7. doi: 10.1002/uog.56.