Sezaryen Skar Gebeliklerinde Medikal Tedavi
Sezaryen skar gebelikleri çok nadir görülen ektopik gebelik tiplerinden biridir. Biz bu çalışmada sezaryen skar gebeliği olan 4 olguyu sunmak istedik. Bu çalışma Ocak 2012-2016 yılları arasında yapılmıştır. Tüm hastalar intramüsküler olarak 50 mg/m2 metotreksat (MTX) ile tedavi edilmişlerdir. Tedavi sonrasında hastalar serum insan koryonik gonadotropin (ß-hCG) düzeyleri
Medical Management of Cesarean Scar Pregnancy
Caesarean scar pregnancy (CSP) is an uncommon type of ectopic pregnancy. Here, we aim to present management of our four CSP cases. These cases were enrolled between January 2012 and January 2016. All the patients treated with 50 mg/m intramuscular methotrexate (MTX) injection. After treatment, patients were followed until their serum beta human chorionic gonadotropin (β-hCG) levels reached
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- Roberts H, Kohlenber C, Lanzarone V, et al. Ectopic pregnancy in lower
segment uterine scar. Aust NZJ Obstet Gynaecol. 1998;38:114-116.
- Gao L, Huang Z, Zhang X, et al. Reproductive outcomes following cesarean
scar pregnancy - a case series and review of the literature, Eur J Obstet
Gynecol Reprod Biol. 2016;200:102-107.
- Ngu SF, Cheung VY. Non-tubal ectopic pregnancy. Int J Gynaecol Obstet.
2011;115:295.
- Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies:etiology,
diagnosis, and management. Obstet Gynecol. 2006;107:1373-1381.
- Marchiolé P, Gorlero F, de Caro G, et al. Intramural pregnancy embedded in
a previous Cesarean section scar treated conservatively .Ultrasound Obstet
Gynecol. 2004;23:307-309.
- Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. BJOG. 2007;114:253-
263.
- Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar, Ultrasound
Obstet Gynecol. 2000;16:592-593.
- Lan W, Hu D, Li Z, et al. Bilateral uterine artery chemoembolization combined
with dilation and curettage for treatment of cesarean scar pregnancy: a
method for preserving the uterus. J Obstet Gynaecol Res. 2013;1153-1158.
- Kanat-Pektas M1, Bodur S2, Dundar O, et al. Systematic review: What is the
best first-line approach for cesarean section ectopic pregnancy? Taiwan J
Obstet Gynecol. 2016;55:263-269.
- Wang Q, Peng HL, He L, et al. Reproductive outcomes after previous
cesarean scar pregnancy: follow up of 189 women. Taiwan J Obstet Gynecol.
2015;54:5513.