剖宫产疤痕妊娠是一种罕见的异位妊娠,当受精卵植入先前剖宫产的疤痕时发生。这是一种严重的疾病,如果不及时和适当地管理,可能导致大量的发病率和死亡率。在这篇文献综述和病例报告中,我们讨论病因,诊断,剖宫产瘢痕妊娠的处理。我们使用电子数据库对相关文献进行了全面搜索,并纳入了有关剖宫产瘢痕妊娠的诊断和治疗报告的研究。我们还提供了一例剖宫产瘢痕妊娠患者的病例报告,该患者经手术治疗。剖宫产瘢痕妊娠的诊断主要通过经阴道或经腹超声检查,根据胎龄,可以使用医疗或手术管理,血液动力学状态,和患者偏好。手术方法,涉及宫腔镜检查,腹腔镜检查,或者剖腹手术,通常是首选,因为它与快速恢复和较低的复发率有关。然而,在选择管理方法时,考虑患者未来的生育计划是至关重要的。总之,剖宫产瘢痕妊娠是一种罕见但可能危及生命的疾病,需要及时和适当的治疗。早期诊断和治疗可以防止显著的发病率和死亡率,由于手术成功率较高,复发率较低,因此通常首选手术治疗。
A cesarean scar pregnancy is a rare type of ectopic pregnancy that occurs when a fertilized egg implants in the scar from a previous cesarean section. It is a serious condition that can lead to significant morbidity and mortality if not managed promptly and appropriately. In this literature review and
case report, we discuss the etiology, diagnosis, and management of cesarean scar pregnancy. We conducted a comprehensive search of relevant literature using electronic databases and included studies that reported on the diagnosis and management of cesarean scar pregnancy. We also present a
case report of a patient with cesarean scar pregnancy who was managed surgically. The diagnosis of cesarean scar pregnancy is primarily done via transvaginal or transabdominal ultrasound, and medical or surgical management can be used depending on the gestational age, hemodynamic status, and patient preferences. The surgical approach, which involves hysteroscopy, laparoscopy, or laparotomy, is usually preferred, since it is associated with fast recovery and lower recurrence rates. However, it is crucial to consider the patient\'s plans for future fertility when selecting the management approach. In conclusion, cesarean scar pregnancy is a rare but potentially life-threatening condition that requires prompt and appropriate management. Early diagnosis and treatment can prevent significant morbidity and mortality, and surgical management is usually preferred due to its higher success rates and lower recurrence rates.