Cai Xiaqin, Shi Hengxing, Dai Senge, Wang Jiajia, Lu Bin, Zhang Qing
Tongde Hospital of Zhejiang Province, Hangzhou City, Zhejiang Province, China.
Evid Based Complement Alternat Med. 2022 May 17;2022:5835569. doi: 10.1155/2022/5835569. eCollection 2022.
We aimed to report the clinical characteristics of cesarean scar pregnancy (CSP), improve the understanding of uterine scar pregnancy, and assess the outcomes of our treatment strategy for CSP. We present 30 patients with CSP diagnosed by transvaginal ultrasonography. Patients received B ultrasound-guided lauromacrogol injection, followed by evacuation under B ultrasound guidance, and intrauterine balloon compression for hemostasis. Postoperatively, all patients received Bushenquyu decoction and warming moxibustion. All patients showed fast recovery and preserved fertility. The combination of lauromacrogol injection and suction curettage under hysteroscopic guidance is an effective conservative treatment for CSP that can help preserve the reproductive function. Postoperative traditional Chinese medicine and warming moxibustion may reduce the risk of ectopic pregnancy and increase the rate of subsequent intrauterine pregnancy.
我们旨在报告剖宫产瘢痕妊娠（CSP）的临床特征，增进对子宫瘢痕妊娠的认识，并评估我们针对CSP的治疗策略的效果。我们呈现了30例经阴道超声诊断为CSP的患者。患者接受了B超引导下聚桂醇注射，随后在B超引导下进行清宫，并采用宫腔球囊压迫止血。术后，所有患者均服用补肾祛瘀汤并进行温灸。所有患者恢复迅速且生育功能得以保留。聚桂醇注射联合宫腔镜引导下吸刮术是治疗CSP的一种有效的保守治疗方法，有助于保留生殖功能。术后中药及温灸可能会降低异位妊娠的风险并提高后续宫内妊娠率。
