Management of Cesarean Scar Pregnancy: A Case Series.
Chin Med Sci J
; 30(4): 226-30, 2015 Dec.
Article
em En
| MEDLINE
| ID: mdl-26960303
ABSTRACT
OBJECTIVE:
To survey effective treatment strategies for cesarean scar pregnancy (CSP).METHODS:
The clinical data of 78 patients diagnosed with CSP from January 2010 to December 2013 were reviewed.RESULTS:
Among these patients, 17 patients were first treated at our hospital; of them, 2 were misdiagnosed. The other 61 patients were referred from other hospitals; of them, 21 were initially misdiagnosed. There were 9 patients who were treated with laparotomy, 50 patients with curettage after uterine artery embolization (UAE) with or without local methotrexate (MTX) infusion, 10 patients with dilatation and curettage, 6 patients with transvaginal sonographic guided local intragestational MTX injection, and 3 patients with systemic MTX injection. All patients finally recovered. Patients with excessive vaginal hemorrhage underwent either emergency UAE treatment or laparotomy. These two treatments had similar success rates (81.82% vs. 100%, χ2 =0.289, P>0.05).CONCLUSIONS:
The accurate diagnosis of CSP is important. Curettage after UAE with or without local MTX infusion is a safe and effective method.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gravidez Ectópica
/
Cesárea
/
Cicatriz
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Qualitative_research
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Chin Med Sci J
Assunto da revista:
TERAPIAS COMPLEMENTARES
Ano de publicação:
2015
Tipo de documento:
Article