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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Cesarean Scar Pregnancy: A Report of 11 Cases and Review of the Literature Regarding Subsequent Pregnancy
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Cesarean Scar Pregnancy: A Report of 11 Cases and Review of the Literature Regarding Subsequent Pregnancy

机译：剖宫产瘢痕妊娠：11例报道及随后妊娠文献复习

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Background: There is no consensus regarding the optimal treatment for cesarean scar pregnancy (CSP) because treatment efficacy, safety, and the influence on subsequent pregnancy must be taken into consideration. Here we report our experience with 11 cases of CSP and review the literature regarding subsequent pregnancy. Methods: Records of 11 CSP cases that were treated at our hospital were retrospectively reviewed. CSP was treated by local methotrexate (MTX) injection or laparotomic or laparoscopic removal of the gestational mass and myometrial repair. Outcome of subsequent pregnancy after treatment was followed-up until delivery. Results: Local MTX injection was performed for six cases, laparotomic removal of the gestational mass and myometrial repair was performed for two, and laparoscopic removal of the gestational mass and myometrial repair was performed for three. The uterus was preserved in all cases. After CSP treatment, eight pregnancies occurred in five cases, resulting in six live births and two miscarriages. Conclusion: Advantages and disadvantages of various treatment methods for CSP continue to be elucidated. Serum hCG level, location of the gestational mass, thickness of the lower uterine segment at the time of diagnosis, and whether the patient wishes for fertility preservation should be considered when choosing a treatment plan.
机译：背景：关于剖宫产疤痕妊娠（CSP）的最佳治疗方法尚无共识，因为必须考虑治疗效果，安全性以及对随后妊娠的影响。在这里，我们报告11例CSP的经验，并回顾有关随后妊娠的文献。方法：回顾性分析我院收治的11例CSP患者的病历。通过局部甲氨蝶呤（MTX）注射或腹腔镜或腹腔镜切除妊娠肿块和子宫肌层修复术来治疗CSP。治疗后随访随后妊娠的结果，直至分娩。结果：局部MTX注射治疗6例，腹腔镜切除妊娠肿块和肌层修复术2例，腹腔镜切除妊娠肿块和肌层修复术3例。在所有情况下子宫均被保留。在接受CSP治疗后，有5例发生了8例怀孕，导致6例活产和2例流产。结论：各种CSP治疗方法的优缺点仍在继续阐明。在选择治疗方案时，应考虑血清hCG水平，妊娠肿块的位置，诊断时子宫下段的厚度以及患者是否希望保留生育力。

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