IR@PKUHSC  > 北京大学第三临床医学院
学科主题临床医学
Endoscopic Treatment of Ectopic Pregnancy in a Cesarean Scar
Li, Hua1; Guo, Hong-Yan1; Han, Jing-Song1; Wang, Jian-Liu2; Xiong, Guang-Wu1; Shen, Jie1; Zhang, Jia-Jia1
关键词Cesarean Scar Ectopic Pregnancy Endoscopy Treatment
刊名JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
2011
DOI10.1016/j.jmig.2010.08.002
18期:1页:31-35
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Obstetrics & Gynecology
研究领域[WOS]Obstetrics & Gynecology
关键词[WOS]MANAGEMENT ; DIAGNOSIS ; SURGERY
英文摘要

Study Objective: To describe our experience with endoscopic removal of cesarean scar pregnancy.

Design: Retrospective study (Canadian Task Force classification II-3).

Setting: Tertiary-care university hospital.

Patients: Twenty-one patients with cesarean scar pregnancy.

Interventions: All the patients underwent removal of pregnancy mass at hysteroscopy or combined with laparoscopy. Nine patients received a methotrexate injection before the operation, and 13 underwent uterine artery embolization before surgery.

Measurements and Main Results: Clinical data, serum beta-human chorionic gonadotropin concentration, findings of ultrasound or magnetic resonance imaging examinations, therapeutic options, operative time, operative blood loss, and duration of hospitalization time were recorded. The mean serum beta-human chorionic gonadotropin concentration at diagnosis was 53 350.4 IU/ L. Seventeen patients underwent hysteroscopy, which failed in 2, and the other 4 patients underwent hysteroscopy combined with laparoscopy. Mean operative time was 51.4 minutes, and mean blood loss was estimated at 48.1 mL. A gestational mass can be removed at hysteroscopy, with rapid recovery and a high success rate. If a cesarean scar pregnancy mass grows toward the bladder and abdominal cavity, hysteroscopy combined with laparoscopy is more appropriate. Preoperative uterine artery embolization can decrease blood loss substantially during the operation. No patients underwent hysterectomy.

Conclusions: Endoscopy seems to be the optimal surgical management in patients with a cesarean scar pregnancy and who desire to preserve the uterus and fertility. However, further study is warranted. Journal of Minimally Invasive Gynecology (2011) 18, 31-35 (C) 2010 AAGL. All rights reserved.

语种英语
WOS记录号WOS:000286286100007
引用统计
被引频次:17[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51887
专题北京大学第三临床医学院
北京大学第三临床医学院_妇产科
作者单位1.Peking Univ, Peoples Hosp, Beijing 100191, Peoples R China
2.Peking Univ, Hosp 3, Dept Obstet & Gynecol, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Li, Hua,Guo, Hong-Yan,Han, Jing-Song,et al. Endoscopic Treatment of Ectopic Pregnancy in a Cesarean Scar[J]. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY,2011,18(1):31-35.
APA Li, Hua.,Guo, Hong-Yan.,Han, Jing-Song.,Wang, Jian-Liu.,Xiong, Guang-Wu.,...&Zhang, Jia-Jia.(2011).Endoscopic Treatment of Ectopic Pregnancy in a Cesarean Scar.JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY,18(1),31-35.
MLA Li, Hua,et al."Endoscopic Treatment of Ectopic Pregnancy in a Cesarean Scar".JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY 18.1(2011):31-35.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Li, Hua]的文章
[Guo, Hong-Yan]的文章
[Han, Jing-Song]的文章
百度学术
百度学术中相似的文章
[Li, Hua]的文章
[Guo, Hong-Yan]的文章
[Han, Jing-Song]的文章
必应学术
必应学术中相似的文章
[Li, Hua]的文章
[Guo, Hong-Yan]的文章
[Han, Jing-Song]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。