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剖宫产瘢痕部位妊娠合并子宫颈环扎术经选择性减胎成功足月分娩:1例病例报告及文献复习

Successful Full-Term Delivery via Selective Ectopic Embryo Reduction Accompanied by Uterine Cerclage in a Heterotopic Cesarean Scar Pregnancy: A Case Report and Literature Review.

作者信息

Kim Hyoeun, Koh Ji Hye, Lee Jihee, Sim Yeongeun, Lee Sang-Hun, Lee Soo-Jeong, Ahn Jun-Woo, Roh Hyun-Jin, Kim Jeong Sook

机构信息

Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan 44033, Korea.

出版信息

Diagnostics (Basel). 2022 Mar 21;12(3):762. doi: 10.3390/diagnostics12030762.

Abstract

Heterotopic cesarean scar pregnancy (HCSP) is a combination of cesarean scar pregnancy (CSP) and intrauterine pregnancy (IUP). Cesarean scar pregnancy is accompanied by life-threatening complications, such as uterine rupture and massive bleeding. Herein, we present a case of HCSP treated with selective potassium chloride injection into the CSP under ultrasonography in association with uterine cerclage to control vaginal bleeding; this led to a successful IUP preservation and full-term delivery. Additionally, we will review several previous reports on HCSP management, including our case.

摘要

剖宫产瘢痕部位异位妊娠(HCSP)是剖宫产瘢痕妊娠(CSP)与宫内妊娠(IUP)的合并情况。剖宫产瘢痕妊娠伴有危及生命的并发症,如子宫破裂和大出血。在此,我们报告1例HCSP患者,在超声引导下向CSP部位选择性注射氯化钾并联合子宫环扎术以控制阴道出血,成功保留了IUP并实现足月分娩。此外,我们将回顾既往关于HCSP治疗的几份报告,包括我们的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e729/8947258/f4337c7b03d6/diagnostics-12-00762-g001.jpg

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