Uterine scar after cesarean section discuss diagnosis and treatment of pregnancy.docVIP

 PAGE \* MERGEFORMAT 15 Uterine scar after cesarean section discuss diagnosis and treatment of pregnancy [Abstract] Objective To investigate the cesarean scar pregnancy, the clinical features, diagnosis and treatment. Methods Retrospective analysis of 18 cases of cesarean scar pregnancy, the clinical manifestations, screening and treatment methods. Results 18 cases of pregnancy were confirmed by B Super diagnosis, 94.4% (17/18) by methotrexate and mifepristone plus curettage conservative treatment, 1 patient misdiagnosed as incomplete abortion, curettage, intraoperative bleeding hysterectomy. Conclusion again, women with a history of cesarean section during pregnancy, first trimester transvaginal ultrasound examination should be routine, will help confirm the diagnosis; methotrexate and mifepristone plus curettage treatment of cesarean scar pregnancy is the main method can effectively avoid hysterectomy. [Keywords:] cesarean section; scar pregnancy; diagnosis; treatment Treatment of caesarean scar pregnancy: a review of 18 cases LIU Baofeng. Yangqu County Family Planning Service Station, Taiyuan 030100, China [Abstract] Objective To describe the clinical characteristics, diagnosis, the method of treatment of cesarean scar pregnancy (CSP). Methods Retrospective analysis of 18 cases of CSP. Clinical presentations, ultrasound examinations, and treatment methods were analyzed. Results All 18 cases of CSP were diagnosed by B ultrasound, of which 1 case (5.6%) misdiagnosed as incomplete abortion. Hemorrhage occurred during dilatation and curettage, and hysterectomy was then performed. All other 17 cases (94.4%) were treated with dilatation and curettage, along with methotrexat and mifepristone. Conclusion For pregnancies after cesarean section, transvaginal ultrasonography should be routinely performed. Color Doppler helps confirm the diagnosis. Curettage with methotrexate and mifepristone are effective in reducing the risk of hysterectomy. [Keywords:]