查詢結果分析
相關文獻
頁籤選單縮合
題 名 | Ectopic Pregnancy Within a Cesarean Section Scar: Report of Two Cases |
---|---|
作 者 | Chen,Fang-yi; Torng,Pao-ling; Huang,Su-cheng; Chow,Song-nan; | 書刊名 | Taiwanese Journal of Obstetrics & Gynecology |
卷 期 | 43:1 2004.03[民93.03] |
頁 次 | 頁38-41 |
分類號 | 417.347 |
關鍵詞 | Methotrexate; Scar pregnancy; Transvaginal sonography; |
語 文 | 英文(English) |
英文摘要 | Objective: Ectopic pregnancy embedded in a previous cesarean section scar is rare. We report two cases of cesarean section scar pregnancy managed with conservative treatment. Case Reports: The first patient was a 39-year-old woman who presented with vaginal spotting and delayed menstruatuion. She had undergone two previous cesarean sections sections and was found to be at 5 weeks’ gestation. The second patient was a 38-year-old woman with one previous cesarean section. She presented with vaginal bleeding and abdominal fullness and was found to be at 7 weeks’ gestation. In both cases, cesarean section scar pregnancies were diagnosed by transvaginal sonographic guidance, followed by multiple doses of intramuscular MTX. Serum β-human chorionic gonadotropin levels declined gradually and reabsorption of the gestational sacs was confirmed by sonography. Conclusions: Early detection of cesarean section scar pregnancy allowed the choice of several conservative treatment options. Intragestational sac injection of MTX systemic was effective in terminating the ectopic pregnancy, even after a fetal heartbeat was detected. |
本系統中英文摘要資訊取自各篇刊載內容。