• 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的成功管理：5例报告

Successful Management of Caesarean Scar Ectopic Pregnancies: A Report of Five Cases.

作者信息

Malhotra Neena, Noor Nilofar, Bansal Piyush, Sharma K Aparna

机构信息

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Nagpur, India.

出版信息

J Reprod Infertil. 2021 Jul-Sep;22(3):220-224. doi: 10.18502/jri.v22i3.6723.

DOI:10.18502/jri.v22i3.6723
PMID:34900643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8607874/
Abstract

BACKGROUND

Cesarean section scar ectopic pregnancy (CSEP) is a rare and potentially life-threatening condition. A standardized management protocol is yet to be established owing to limited data available.

CASE PRESENTATION

In this paper, five cases of CSEP over a period of 18 months at a tertiary referral hospital, managed medically with methotrexate administered both systemically and into the gestational sac at the time of feticide with potassium chloride (KCL) are presented. Surgical management was the second line therapy when medical treatment failed.

CONCLUSION

With rising trends in cesarean deliveries, CSEP may be a challenge which requires close investigation regarding its diagnosis and treatment on the merits of case studies and available healthcare facilities.

摘要

背景

剖宫产瘢痕部位异位妊娠（CSEP）是一种罕见且可能危及生命的疾病。由于可用数据有限，尚未建立标准化的管理方案。

病例报告

本文介绍了一家三级转诊医院在18个月内发生的5例CSEP病例，采用甲氨蝶呤进行药物治疗，在使用氯化钾（KCL）杀胎时经全身及向妊娠囊内给药。药物治疗失败时，手术治疗作为二线治疗。

结论

随着剖宫产率的上升，CSEP可能是一个挑战，需要根据病例研究和现有医疗设施的情况，对其诊断和治疗进行密切研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/5106459ea4d4/JRI-22-220-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/568009c5689a/JRI-22-220-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/585d2c3cd7a5/JRI-22-220-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/4888f048b403/JRI-22-220-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/a4f3fee7c1f2/JRI-22-220-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/1fe60e818dce/JRI-22-220-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/14ca5924519f/JRI-22-220-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/74226f34e95f/JRI-22-220-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/5106459ea4d4/JRI-22-220-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/568009c5689a/JRI-22-220-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/585d2c3cd7a5/JRI-22-220-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/4888f048b403/JRI-22-220-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/a4f3fee7c1f2/JRI-22-220-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/1fe60e818dce/JRI-22-220-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/14ca5924519f/JRI-22-220-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/74226f34e95f/JRI-22-220-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a90/8607874/5106459ea4d4/JRI-22-220-g008.jpg

相似文献

1
Successful Management of Caesarean Scar Ectopic Pregnancies: A Report of Five Cases.剖宫产瘢痕部位异位妊娠的成功管理：5例报告
J Reprod Infertil. 2021 Jul-Sep;22(3):220-224. doi: 10.18502/jri.v22i3.6723.
2
Non-surgical management of caesarean scar ectopic pregnancy - a five-year experience.剖宫产瘢痕部位异位妊娠的非手术治疗——五年经验
J Obstet Gynaecol. 2018 Nov;38(8):1121-1127. doi: 10.1080/01443615.2018.1451986. Epub 2018 Jun 8.
3
Ectopic pregnancies in caesarean section scars: 5 years experience.剖宫产瘢痕部位异位妊娠：5年经验
Clin Imaging. 2020 Oct;66:26-34. doi: 10.1016/j.clinimag.2020.04.037. Epub 2020 May 3.
4
Experience With Medical Treatment of Cesarean Scar Ectopic Pregnancy (CSEP) With Local Ultrasound-Guided Injection of Methotrexate.局部超声引导下注射甲氨蝶呤治疗剖宫产瘢痕部位异位妊娠（CSEP）的经验
Front Med (Lausanne). 2020 Nov 3;7:564764. doi: 10.3389/fmed.2020.564764. eCollection 2020.
5
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.
6
Cesarean Scar Pregnancy, Incidence, and Recurrence: Five-Year Experience at a Single Tertiary Care Referral Center.剖宫产瘢痕妊娠：发生率和复发——单中心 5 年经验。
Obstet Gynecol. 2018 Nov;132(5):1285-1295. doi: 10.1097/AOG.0000000000002940.
7
Methotrexate treatment of very high β-HCG ectopic pregnancy on previous cesarean scar: A case report.甲氨蝶呤治疗既往剖宫产瘢痕处β-HCG水平极高的异位妊娠：一例报告
Radiol Case Rep. 2023 Sep 7;18(11):4106-4109. doi: 10.1016/j.radcr.2023.08.051. eCollection 2023 Nov.
8
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.
9
Successful local and systemic medical treatment of cesarean scar pregnancy and a subsequent term pregnancy after treatment: a case series.剖宫产瘢痕妊娠的成功局部及全身药物治疗及治疗后的足月妊娠：病例系列
Iran J Reprod Med. 2015 Jul;13(7):445-50.
10
Conservative treatment of abnormally located intrauterine pregnancies (cervical and cesarean scar pregnancies): a multicenter analysis (Polish series).异常位置宫内妊娠（宫颈妊娠和剖宫产瘢痕妊娠）的保守治疗：多中心分析（波兰系列）
J Matern Fetal Neonatal Med. 2020 Mar;33(6):993-998. doi: 10.1080/14767058.2018.1514009. Epub 2018 Sep 20.

引用本文的文献

1
Cesarean Scar Ectopic Pregnancy: A Case Report.剖宫产瘢痕部位异位妊娠：一例报告
Cureus. 2025 Jan 31;17(1):e78312. doi: 10.7759/cureus.78312. eCollection 2025 Jan.
2
Management of Cesarean Scar Ectopic Pregnancies: A Retrospective Study and Literature Review.剖宫产瘢痕部位异位妊娠的管理：一项回顾性研究及文献综述
Cureus. 2024 Nov 26;16(11):e74515. doi: 10.7759/cureus.74515. eCollection 2024 Nov.

本文引用的文献

1
Expectant management of caesarean scar ectopic pregnancy: a systematic review.剖宫产瘢痕部位异位妊娠的期待治疗：一项系统评价
J Perinat Med. 2018 May 24;46(4):365-372. doi: 10.1515/jpm-2017-0189.
2
Successful management of caesarean scar live ectopic pregnancies with local KCL and systemic methotrexate.采用局部氯化钾和全身甲氨蝶呤成功治疗剖宫产瘢痕部位活胎异位妊娠。
BMJ Case Rep. 2017 Oct 24;2017:bcr-2017-221844. doi: 10.1136/bcr-2017-221844.
3
Management of a Viable Cesarean Scar Pregnancy: A Case Report.剖宫产瘢痕妊娠的处理：一例病例报告
Oman Med J. 2017 Mar;32(2):161-166. doi: 10.5001/omj.2017.29.
4
Cesarean Scar Pregnancy: A Systematic Review.剖宫产瘢痕妊娠：一项系统评价。
J Minim Invasive Gynecol. 2017 Jul-Aug;24(5):731-738. doi: 10.1016/j.jmig.2017.02.020. Epub 2017 Mar 6.
5
Diagnosis and Management of Ectopic Pregnancy: Green-top Guideline No. 21.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.
6
Reproductive outcomes after previous cesarean scar pregnancy: Follow up of 189 women.既往剖宫产瘢痕妊娠后的生殖结局：189例女性的随访
Taiwan J Obstet Gynecol. 2015 Oct;54(5):551-3. doi: 10.1016/j.tjog.2015.08.006.
7
Local Methotrexate Injection as the First-line Treatment for Cesarean Scar Pregnancy: Review of the Literature.局部注射甲氨蝶呤作为剖宫产瘢痕妊娠的一线治疗：文献综述
J Minim Invasive Gynecol. 2015 Jul-Aug;22(5):753-8. doi: 10.1016/j.jmig.2015.04.008. Epub 2015 Apr 15.
8
Identifying risk factors for recurrent cesarean scar pregnancy: a case-control study.识别复发性剖宫产瘢痕妊娠的危险因素：一项病例对照研究。
Fertil Steril. 2014 Jul;102(1):129-134.e1. doi: 10.1016/j.fertnstert.2014.04.003. Epub 2014 May 10.
9
Transvaginal sono-guided aspiration of gestational sac concurrent with a local methotrexate injection for the treatment of unruptured cesarean scar pregnancy.经阴道超声引导下妊娠囊抽吸术联合局部甲氨蝶呤注射治疗未破裂剖宫产瘢痕妊娠。
Arch Gynecol Obstet. 2013 Aug;288(2):361-6. doi: 10.1007/s00404-013-2765-4. Epub 2013 Feb 27.
10
Cesarean scar ectopic pregnancy: case series and review of the literature.剖宫产术后子宫瘢痕部位妊娠：病例系列及文献复习。
Am J Perinatol. 2010 Feb;27(2):111-20. doi: 10.1055/s-0029-1224874. Epub 2009 Jun 5.