局部注射无水乙醇成功保守治疗剖宫产瘢痕部位异位妊娠
Successful Conservative Treatment of Cesarean Scar Ectopic Pregnancy with Local Injections of Absolute Ethanol.
作者信息
Kakinuma Toshiyuki, Kakinuma Kaoru, Matsuda Yoshio, Yanagida Kaoru, Kaijima Hirotsune, Ohwada Michitaka
机构信息
Department of Obstetrics and Gynecology, International University of Health and Welfare Hospital, Nasushiobara City, Tochigi, Japan.
Minatomirai Yume Clinic, Yokohama, Kanagawa, Japan.
出版信息
Gynecol Minim Invasive Ther. 2021 Apr 30;10(2):132-134. doi: 10.4103/GMIT.GMIT_125_19. eCollection 2021 Apr-Jun.
Cesarean scar ectopic pregnancy (CSEP) is becoming more common worldwide. Here, we report a case of cesarean scar pregnancy successfully treated using transvaginal ethanol injection. A 31-year-old female (gravida 3, para 2) with two prior cesarean sections presented at 9 weeks and 3 days of pregnancy. Her serum human chorionic gonadotropin level was 91,798 mIU/mL. CSEP was confirmed by transvaginal ultrasonography, pelvic magnetic resonance imaging, and color Doppler ultrasonography. Transvaginal absolute ethanol local injection under transvaginal ultrasound guidance was performed. She was discharged 7 days after treatment with no complications and resumed normal menses 1 month after treatment. We describe a safe and successful treatment option for CSEP.
剖宫产瘢痕部位异位妊娠（CSEP）在全球范围内正变得越来越常见。在此，我们报告一例经阴道乙醇注射成功治疗的剖宫产瘢痕妊娠病例。一名31岁女性（孕3产2），有两次剖宫产史，孕9周零3天时前来就诊。她的血清人绒毛膜促性腺激素水平为91,798 mIU/mL。经阴道超声、盆腔磁共振成像和彩色多普勒超声检查确诊为CSEP。在经阴道超声引导下进行经阴道无水乙醇局部注射。治疗7天后她出院，无并发症，治疗1个月后月经恢复正常。我们描述了一种安全且成功的CSEP治疗方案。
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