腹腔镜成功治疗复发性剖宫产瘢痕妊娠：病例报告及趋势

IF 2 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Taiwanese Journal of Obstetrics & Gynecology Pub Date : 2025-07-01 DOI:10.1016/j.tjog.2025.04.011

Jing Wang Lin , Hsien Yung Lai , Jen Yu Tseng , Peng-Hui Wang

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引用次数: 0

摘要

目的终止剖宫产瘢痕妊娠（CSP）是推荐的治疗选择；然而，如何选择合适的治疗方法往往是一个难题，特别是对于反复发作的CSP （RCSP）妇女。病例报告一名37岁妇女，既往两次剖宫产，既往一次CSP，在妊娠5 + 4周被诊断为RCSP。腹腔镜切除和修复后早期准确诊断RCSP获得了平稳的结果。结论虽然适用于CSP妇女的策略有很多，但腹腔镜切除一期修复可能是较好的选择，不仅可以明确切除，而且可以重建剖宫产瘢痕缺损。

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Recurrent cesarean scar pregnancy successfully managed by laparoscopy: Case report and current trend

Objective

Termination of cesarean scar pregnancy (CSP) is the recommended treatment of choice; however, how to select an appropriate treatment is often a dilemma, particularly for the women with repeated CSP (RCSP).

Case report

A 37-year-old woman with two previous cesarean deliveries and one previous CSP was diagnosed as RCSP at 5 + 4 gestational weeks. An early and accurate diagnosis of RCSP following laparoscopic excision and repairment of defect had obtained the uneventful outcome.

Conclusion

Although there are many strategies suitable for women with CSP, laparoscopic resection and primary repair may be a good choice, not only for definite removal but also for reconstruction of cesarean scar defect.

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来源期刊

Taiwanese Journal of Obstetrics & Gynecology OBSTETRICS & GYNECOLOGY-

CiteScore

3.60

自引率

23.80%

发文量

207

审稿时长

4-8 weeks

期刊介绍： Taiwanese Journal of Obstetrics and Gynecology is a peer-reviewed journal and open access publishing editorials, reviews, original articles, short communications, case reports, research letters, correspondence and letters to the editor in the field of obstetrics and gynecology. The aims of the journal are to: 1.Publish cutting-edge, innovative and topical research that addresses screening, diagnosis, management and care in women''s health 2.Deliver evidence-based information 3.Promote the sharing of clinical experience 4.Address women-related health promotion The journal provides comprehensive coverage of topics in obstetrics & gynecology and women''s health including maternal-fetal medicine, reproductive endocrinology/infertility, and gynecologic oncology. Taiwan Association of Obstetrics and Gynecology.