Cesarean scar pregnancies successfully treated with methotrexate

被引：16

作者：

Muraji, Miho ^{[1
]}

Mabuchi, Seiji ^{[1
]}

Hisamoto, Koji ^{[2
]}

Muranishi, Mariko ^{[2
]}

Kanagawa, Takeshi ^{[1
]}

Nishio, Yukihiro ^{[2
]}

Kimura, Tadashi ^{[1
]}

机构：

[1] Osaka Univ, Dept Obstet & Gynecol, Grad Sch Med, Suita, Osaka 5650871, Japan

[2] Osaka Police Hosp, Dept Obstet & Gynecol, Tennoji Ku, Suita, Osaka 5650871, Japan

来源：

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA | 2009年 / 88卷 / 06期

关键词：

Cesarean scar pregnancy; methotrexate; ultrasonography; ECTOPIC PREGNANCY; SECTION SCAR; MANAGEMENT; DIAGNOSIS;

D O I：

10.1080/00016340902883141

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Three cases of cesarean scar pregnancy successfully treated with methotrexate are described. The diagnosis was confirmed by transvaginal sonographic examinations showing a well-formed gestational sac in the myometrium of the lower uterine segment. Initial treatment with a systemic injection of 50 mg of methotrexate was not sufficient, and multiple doses were required to obtain a complete remission in two cases. In a case with a beta-hCG level of more than 20,000 mIU/mL with a viable embryo in a gestational sac, a combination of systemic and local treatment with methotrexate was required. It took 7-11 weeks for the beta-hCG level to become undetectable and 12-17 weeks for the cesarean scar pregnancy mass to disappear completely.

引用

页码：720 / 723

页数：4

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