| Autor: |
Ko, Jennifer K.Y., Li, Raymond H.W., Cheung, Vincent Y.T. |
| Předmět: |
|
| Zdroj: |
Australian & New Zealand Journal of Obstetrics & Gynaecology; Feb2015, Vol. 55 Issue 1, p64-69, 6p, 1 Chart, 1 Graph |
| Abstrakt: |
Aims To review the management and outcome of all women with caesarean scar pregnancy ( CSP) at a single centre. Methods A retrospective review of women diagnosed with CSP between January 2004 and December 2013 was performed. Women were identified from the admission and Early Pregnancy Assessment Clinic records. Results Twenty-two cases of CSP were identified during the study period. The median gestational age at diagnosis was 6.7 weeks (range 4.7-11.8 weeks). All diagnoses were made by ultrasound, the most common finding of which was a heterogeneous mass at the site of the caesarean scar (100%). The median duration for human chorionic gonadotropin to return to undetectable level was 10 weeks (range 2-20 weeks), although the duration for sonographic resolution of the CSP can take much longer. The success rate of intralesional methotrexate was 80% in our series. Conclusion There is no consensus regarding the method of choice for managing CSP. Medical management using intralesional methotrexate appears to be an acceptable treatment in clinically stable women. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
Plný text