Transvaginal removal of ectopic pregnancy tissue and repair of uterine defect for caesarean scar pregnancy

被引：41

作者：

He, M. ^{[1
]}

Chen, M-H ^{[1
]}

Xie, H-Z ^{[1
]}

Yao, S-Z ^{[1
]}

Zhu, B. ^{[1
]}

Feng, L-P ^{[1
]}

Wu, Y-P ^{[1
]}

机构：

[1] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Obstet & Gynaecol, Guangzhou 510080, Guangdong, Peoples R China

来源：

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2011年 / 118卷 / 09期

关键词：

Caesarean scar; ectopic pregnancy; surgery; transvaginal; SECTION SCAR; DIAGNOSIS; SURGERY;

D O I：

10.1111/j.1471-0528.2011.02891.x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

From December 2009 to April 2010, six patients with caesarean scar pregnancies (CSPs) underwent the transvaginal removal of ectopic pregnancy tissue and repair of a uterine defect. Transvaginal surgery was performed uneventfully in all cases. The operating time ranged from 45 to 80 minutes. Blood loss ranged from 50 to 150 ml. Serum beta-hCG (beta-subunit of human chorionic gonadotrophin) levels declined to normal levels within a month for all patients, and all patients recovered without complications. Our results show that the transvaginal removal of ectopic pregnancy tissue and repair of the uterine defect is effective, safe, and minimally invasive for patients with CSP.

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页码：1136 / 1139

页数：4

相关论文

共 14 条

[1] Caesarean scar pregnancy [J].

Ash, A. ;

Smith, A. ;

Maxwell, D. .

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2007, 114 (03) :253-263

[2] Ectopic pregnancy within a cesarean scar: A review. [J].

Fylstra, DL .

OBSTETRICAL & GYNECOLOGICAL SURVEY, 2002, 57 (08) :537-543

[3] Uterine-preserving emergency surgery for cesarean scar pregnancies: another medical solution to an iatrogenic problem [J].

Halperin, Reuvit ;

Schneider, David ;

Mendlovic, Sonia ;

Pansky, Moty ;

Herman, Arie ;

Maymon, Ron .

FERTILITY AND STERILITY, 2009, 91 (06) :2623-2627

[4] Limitations of conservative treatment for repeat Cesarean scar pregnancy [J].

Hasegawa, J ;

Ichizuka, K ;

Matsuoka, R ;

Otsuki, K ;

Sekizawa, A ;

Okai, T .

ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2005, 25 (03) :310-311

[5] FOLLOW-UP AND OUTCOME OF ISTHMIC PREGNANCY LOCATED IN A PREVIOUS CESAREAN-SECTION SCAR [J].

HERMAN, A ;

WEINRAUB, Z ;

AVRECH, O ;

MAYMON, R ;

RONEL, R ;

BUKOVSKY, Y .

BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1995, 102 (10) :839-841

[6]

Jiao Lan-zhou, 2008, Chinese Medical Sciences Journal, V23, P10

[7] First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar [J].

Jurkovic, D ;

Hillaby, K ;

Woelfer, B ;

Lawrence, A ;

Salim, R ;

Elson, CJ .

ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2003, 21 (03) :220-227

[8] Method of delivery and pregnancy outcomes in Asia: the WHO global survey on maternal and perinatal health 2007-08 [J].

Lumbiganon, Pisake ;

Laopaiboon, Malinee ;

Guelmezoglu, A. Metin ;

Souza, Joao Paulo ;

Taneepanichskul, Surasak ;

Pang Ruyan ;

Attygalle, Deepika Eranjanie ;

Shrestha, Naveen ;

Mori, Rintaro ;

Hinh, Nguyen Duc ;

Bang, Hoang Thi ;

Rathavy, Tung ;

Kang Chuyun ;

Cheang, Kannitha ;

Festin, Mario ;

Udomprasertgul, Venus ;

Germar, Maria Julieta V. ;

Gao Yanqiu ;

Roy, Malabika ;

Carroli, Guillermo ;

Ba-Thike, Katherine ;

Filatova, Ekaterina ;

Villar, Jose .

LANCET, 2010, 375 (9713) :490-499

[9] Ectopic pregnancies in Caesarean section scars: the 8 year experience of one medical centre [J].

Maymon, R ;

Halperin, R ;

Mendlovic, S ;

Schneider, D ;

Vaknin, Z ;

Herman, A ;

Pansky, M .

HUMAN REPRODUCTION, 2004, 19 (02) :278-284

[10] Transvaginal surgery for uterine scar dehiscence [J].

Philippe, HJ ;

Karanouh, S ;

Rozenberg, P ;

Dien, DT ;

Nisand, I .

EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1997, 73 (02) :135-138