Therapeutic Options of Caesarean Sear Pregnancy: Case Series and Literature Review

被引：30

作者：

de Vaate, A. J. Marjolein Bij ^{[1
]}

Brolmann, Hans A. M. ^{[1
]}

van der Slikke, Johannes W. ^{[1
]}

Wouters, Maurice G. A. J. ^{[1
]}

Schats, Roel ^{[1
]}

Huirne, Judith A. F. ^{[1
]}

机构：

[1] Vrije Univ Amsterdam, Med Ctr, Dept Obstet & Gynaecol, Amsterdam, Netherlands

来源：

JOURNAL OF CLINICAL ULTRASOUND | 2010年 / 38卷 / 02期

关键词：

caesarean scar pregnancy; methotrexate treatment; ectopic pregnancy; sonography; SCAR ECTOPIC PREGNANCY; SECTION SCAR; CONSERVATIVE TREATMENT; SYSTEMIC METHOTREXATE; DOSE METHOTREXATE; MEDICAL-TREATMENT; MANAGEMENT; DIAGNOSIS; EMBRYO;

D O I：

10.1002/jcu.20648

中图分类号：

O42 [声学];

学科分类号：

070206 [声学];

摘要：

We describe our experience with the treatment of 4 caesarean scar pregnancies and provide an overview of current literature. Four women diagnosed with a caesarean scar pregnancy in our hospital between 1996 and 2007 were treated with local or systemic methotrexate and had a steady decline of the serum beta-hCG level. The uterus was preserved in all women and 3 of them had an uneventful subsequent pregnancy and delivery. We suggest that transcervical needle aspiration of amniotic fluid followed by intra-amniotic injection of methotrexate should be the treatment of choice, followed by surgical treatment only if methotrexate fails. (C) 2009 Wiley Periodicals, Inc. J Clin Ultrasound 38:75-84, 2010; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.20648

引用

页码：75 / 84

页数：10

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