Cesarean scar pregnancy

被引:9
|
作者
Hanacek, J. [1 ,2 ]
Herman, H. [1 ,2 ]
Krepelka, P. [1 ,2 ]
Haslik, L. [1 ,2 ]
Brandejsova, A. [1 ]
Krofta, L. [1 ,2 ]
机构
[1] Ustav Pro Peci Matku Dite, 3 LF UK, Prague, Czech Republic
[2] 3 LF UK FNKV, Prague, Czech Republic
来源
CESKA GYNEKOLOGIE-CZECH GYNAECOLOGY | 2022年 / 87卷 / 03期
关键词
cesarean scar pregnancy; ultrasound diagnosis; placenta accreta spectrum; vacumaspiration; methotrexate; uterine scar resuture; EARLY PLACENTA-ACCRETA; ECTOPIC PREGNANCY; FOLLOW-UP; MANAGEMENT; ULTRASONOGRAPHY; INJECTION;
D O I
10.48095/cccg2022193
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To summarize the current knowledge on pregnancy in a cesarean scar. Methodology: A literature review on the topic using the PubMed database. Results: Gravidity in a cesarean scar is a relatively new type of ectopic pregnancy that will be an increasingly common problem in an era of increasing cesarean section rates. It is still a relatively rare event, occurring in about 6% of the population. Dia g-nosis is based primarily on ultrasound examination and is essential early on in pregnancy. The pathogenesis of the disease is due to a disorder of the basal layer of the endometrium and can lead to conditions that we refer to as placenta accreta spectrum. The management is completely individualized and depends on hCG values, ultrasound findings, fetal viability, the wishes of the pregnant woman and the experience of the gynecologist concerned. Conclusion:This is still a rare occurrence of ectopic pregnancy but with increasing potential. The solution is completely individualized based on a precise and early ultrasound dia gnosis.
引用
收藏
页码:193 / 197
页数:5
相关论文
共 50 条
  • [1] Pregnancy in a Cesarean scar
    Vial, Y
    Petignat, P
    Hohlfeld, P
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2000, 16 (06) : 592 - 593
  • [2] Cesarean scar pregnancy
    Matyszkiewicz, Anna
    Jach, Robert
    Nocun, Agnieszka
    Posadzka, Ewa
    Huras, Hubert
    Pitynski, Kazimierz
    Wolski, Hubert
    Basta, Pawel
    [J]. GINEKOLOGIA POLSKA, 2015, 86 (10) : 791 - 798
  • [3] Cesarean scar pregnancy
    Jurkovic, D
    Hillaby, K
    Woelfer, B
    Lawrence, A
    Salim, R
    Elson, CJ
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2003, 21 (03) : 310 - 310
  • [4] Cesarean scar pregnancy
    Bhusal Miluna
    Wei Hua
    易村犍
    [J]. 长江大学学报(自然科学版), 2013, 10 (36) : 141 - 146
  • [5] Cesarean scar pregnancy
    Chang, Wen-Hsun
    Chou, Fang-Wei
    Wang, Peng-Hui
    [J]. TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY, 2022, 61 (06): : 923 - 924
  • [6] Ultrasonographic findings and treatment in heterotopic cesarean scar pregnancy A very rare case of heterotopic cesarean scar pregnancy highlights the potential for cesarean scar pregnancy in patients with a history of cesarean scar
    Saravana-Bawan, Samantha R.
    Letourneau, Karen
    [J]. BRITISH COLUMBIA MEDICAL JOURNAL, 2024, 66 (06): : 202 - 203
  • [7] Cesarean scar pregnancy IS an ectopic pregnancy
    Jurkovic, D.
    Tellum, T.
    Kirk, E.
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2022, 59 (06) : 831 - 832
  • [8] A Cesarean scar pregnancy is not an ectopic pregnancy
    Timor-Tritsch, I. E.
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2022, 59 (04) : 424 - 427
  • [9] Cesarean Scar Molar Pregnancy
    Ko, Jennifer K. Y.
    Wan, Hei Lok
    Ngu, Siew Fei
    Cheung, Vincent Y. T.
    Ng, Ernest H. Y.
    [J]. OBSTETRICS AND GYNECOLOGY, 2012, 119 (02): : 449 - 451
  • [10] Cesarean scar ectopic pregnancy
    Kung, FT
    Huang, TL
    Chen, CW
    Cheng, YF
    [J]. FERTILITY AND STERILITY, 2006, 85 (05) : 1508 - 1509