Clinical characteristics and salvage management of persistent cesarean scar pregnancy

被引:17
作者
Ying, Xue [1 ]
Zheng, Wei [1 ]
Zhao, Li [1 ]
Zhou, Mi [2 ]
Chen, Zhengyun [1 ]
机构
[1] Zhejiang Univ, Sch Med, Womens Hosp, Dept Obstet & Gynecol, 1 Xueshi Rd, Hangzhou 310006, Zhejiang, Peoples R China
[2] Maternal & Child Hlth Hosp Hainan Prov, Dept Obstet & Gynecol, Haikou, Hainan, Peoples R China
关键词
cesarean scar pregnancy; cesarean section; ectopic pregnancy; hemorrhage; persistent ectopic pregnancy; ECTOPIC PREGNANCIES; RISK-FACTORS; SUCTION CURETTAGE; SECTION SCAR; DIAGNOSIS; HYSTEROSCOPY; SONOGRAPHY; EFFICACY;
D O I
10.1111/jog.13367
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
AimThe study was conducted to illustrate the clinical characteristics and treatment outcomes of patients with persistent cesarean scar pregnancy (PCSP). MethodsDuring a six-year period, 38 cases of PCSP were diagnosed and treated conservatively to preserve fertility. The clinical presentations, imaging findings and treatment outcomes of these patients were reviewed. ResultsFourteen out of 38 women (37%) presenting with PCSP suffered heavy vaginal bleeding. Gestational age at diagnosis was 73.121.7days. The maximum diameter of the PCSP mass was 3.6 +/- 1.6cm. The presence of a rich vascular pattern in the area of the PCSP mass was detected by ultrasound in 33/38 (87%) patients. Six patients with a PCSP gestational age of 64.2 +/- 6.2days and a mass diameter of 2.5 +/- 0.6cm were successfully treated with medical treatment alone and 32 patients with a gestational age of 74.8 +/- 23.1days and a mass diameter of 3.8 +/- 1.6cm were successfully treated with surgical or combined treatment. ConclusionsPatients with PCSP are diagnosed at advanced gestational age and are more prone to heavy bleeding. Surgery is the main treatment for PCSP. Medical treatment of PCSP has become an attractive alternative, especially for hemodynamically stable patients with a PCSP mass with a maximum diameter of < 3.5cm.
引用
收藏
页码:1293 / 1298
页数:6
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