Amuzegar Hoora, Tanha Fatemeh Davari, Asbagh Firoozeh Akbari, Ebrahimi Mahbod, Ezzati Sareh, Hajialiakbar Venus
Department of Obstetrics and Gynecology, Faculty of Medicine, Qom University of Medical Science, Qom, Iran.
Department of Obstetrics and Gynecology, Women's Hospital, Tehran University of Medical Science, Tehran, Iran.
Gynecol Minim Invasive Ther. 2025 Mar 15;14(2):170-173. doi: 10.4103/gmit.gmit_28_24. eCollection 2025 Apr-Jun.
Cesarean scar pregnancy (CSP) is an ectopic that is located in the myometrium of a previous C-section of the scar. It is rare but threatening. The aim of this study was to introduce 10 cases of CSP treated with hysteroscopic resection. In the preoperative phase, the patients with beta-human chorionic gonadotropin (B-hCG) titers more than 10,000 were treated with methotrexate (MTX) to reduce B-hCG titers. Two patients did not receive MTX. All patients were treated with hysteroscopic resection except one patient, who underwent hysteroscopic resectoscopy due to a lack of reduction of B-hCG and due to unrepairable scar site of cesarean and uterine perforation eventuate hysterectomy. All patients had normal menstrual cycles as well as the negative β-hCG level after 2 months. Moreover, no recurrence was reported after 3 years. Low-invasive treatments such as hysteroscopic resection can be an important step to maintain fertility and the general health of patients.
剖宫产瘢痕妊娠（CSP）是一种异位妊娠，位于既往剖宫产瘢痕处的子宫肌层。它很罕见但具有危险性。本研究的目的是介绍10例接受宫腔镜切除术治疗的CSP病例。术前，β-人绒毛膜促性腺激素（B-hCG）水平超过10000的患者接受甲氨蝶呤（MTX）治疗以降低B-hCG水平。两名患者未接受MTX治疗。除一名患者外，所有患者均接受了宫腔镜切除术，该患者因B-hCG未降低、剖宫产瘢痕部位无法修复以及子宫穿孔最终接受了子宫切除术。所有患者术后2个月月经周期正常，β-hCG水平呈阴性。此外，3年后未报告复发情况。诸如宫腔镜切除术等低侵入性治疗可能是维持患者生育能力和总体健康的重要一步。
