Management of Cesarean Scar Pregnancy: A Case Series

Guo Min-hui; Wang Mei-fen; Liu Man-man; Qi Feng; Qu Fan; Zhou Jian-hong

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Management of Cesarean Scar Pregnancy: A Case Series

Chinese Medical Sciences Journal Vol. 30, Issue 4, Pages: 226-230(2015)

Orginal Article | Updated：2024-04-10

- Management of Cesarean Scar Pregnancy: A Case Series
- Affiliations：
  
  1. 1Department of Gynecology and Obstetrics, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, China ;
  2. 2Department of Gynecology and Obstetrics, Taizhou Hospital of Zhejiang Province, Taizhou 317000, Zhejiang, China
- Author bio：
  
  *Corresponding author Tel: 86-15990008569, E-mail: zzjjhh@126.com
- Funds：
- DOI：
  CLC：
- Published Online：20 August 2015，
  
  Published：2015-08
- Accepted：
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Guo Min-hui, Wang Mei-fen, Liu Man-man, et al. Management of Cesarean Scar Pregnancy: A Case Series[J]. Chinese medical sciences journal, 2015, 30(4): 226-230.
DOI：

Guo Min-hui, Wang Mei-fen, Liu Man-man, et al. Management of Cesarean Scar Pregnancy: A Case Series[J]. Chinese medical sciences journal, 2015, 30(4): 226-230. DOI：

摘要

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%

. 100%

=0.289

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.

关键词

Keywords

references

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