Clinical study on 45 cases with endogenous caesarean scar pregnancy

VernacularTitle:甲氨蝶呤、米非司酮联合清宫术治疗剖宫产后子宫瘢痕部位妊娠
Author: Xiaoqiao LI ; Yuanfang ZHANG
Publication Type:Journal Article
Keywords: Pregnancy,ectopic; Cicatrix; Cesarean section; Curettage; Methotrexate; Mifepristone
From: Chinese Journal of Primary Medicine and Pharmacy 2015;(21):3283-3285
CountryChina
Language:Chinese
Abstract: Objective To study the effect of ultrasound guided curettage after methotrexate and mifepristone in the treatment of endogenous caesarean scar pregnancy.Methods A retrospective analysis was performed on 43 patients of endogenous caesarean scar pregnancy undergoing treatment of ultrasound guided curettage after methotrexate and mifepristone.Results 39 cases were successful,4 cases were transformed to laparotomy because of intraoperative blood loss,7 cases of bleeding after curettage were successful by uterine carity placed double lumina Foley catheter. Conclusion Ultrasound guided curettage after methotrexate and mifepristone is a safe,effective,little trauma and low cost method in the treatment of endogenous caesarean scar pregnancy,it especially adapts to primary hospital.