【摘 要】
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Objectives: To explore a novel surgical management, the transvaginal hysterotomy combined with methotrexate (MTX) injection, in the treatment of cesarean scar ectopic pregnancy (CSEP).Methods: This wa
【机 构】
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Department of Obstetrics and Gynecology, Affiliated Shenzhen Nanshan People's Hospital of Guaongdon
【出 处】
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2013年粤桂妇产科学学术交流会议暨2013年广东省医学会妇产科学学术年会
论文部分内容阅读
Objectives: To explore a novel surgical management, the transvaginal hysterotomy combined with methotrexate (MTX) injection, in the treatment of cesarean scar ectopic pregnancy (CSEP).Methods: This was a retrospective study, 12 patients with cesarean scar pregnancy were reviewed in our study.All patients underwent transvaginal hysterotomy and application of local methotrexate injection.Results: The operation time was 21.6 ± 7.3(17.0~26.2) min; the mean intraoperative blood loss was 90.8 ± 59.6 (52.9~128.7) mL.The postoperative ultrasonography indicated the disappearance of pregnancy sac.The length of hospital stay was 7.4 + 3.7(5.0~9.8) days.The first normal post-operative menstruation onset was 28.3 ± 5.6(24.7~31.9) days after the surgery.The length of serum β-HCG to return to normal level was 15.8 + 6.3 (11.8~ 19.8) days.Conclusion: Surgical removal of the ectopic sac by transvaginal hysterotomy combined with methotrexate injection during operation is a new approach for CSEP..The efficacy and safety of the approach needs further confirm.
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