Sezaryen Skar Yeri Ektopik Gebeliği

Çalışmamızın amacı sezaryen skar ektopik gebeliğinin ilk olgu sunumu olarak yayınlandığı 1978 ile Mart 2017 tarihleriarasında literatürde yer almış çalışmaları gözden geçirmek ve, sezaryen skar ektopik gebeliğinin yönetiminde kullanılangüncel tanı ve tedavi yöntemlerini karşılaştırmaktır. Sezaryen skar ektopik gebeliğinin ayırıcı tanısında serum humanchorionic gonadotropin düzeyi saptanması, ultrasonografi, doppler ultrasonografi ve bazı durumlarda da manyetikrezonans görüntüleme kullanılmaktadır. Standart bir tedavi yöntemi tanımlanmamakla birlikte en sık olarak dilatasyonve küretaj, lokal veya sistemik metotreksat uygulanması, selektif uterin arter embolizasyonu ve histerotomiuygulanmaktadır.

Ectopic Pregnancy Located at the Cesarean Scar

The aim of our study is to review previous studies in literature on caesarean scar ectopic pregnancy between 1978; the year the first case was reported and March 2017, and to compare the current diagnostic and treatment methods used in management of caesarean scar ectopic pregnancy. Measurement of serum human chorionic gonadotropin levels, ultrasonography, doppler ultrasonography and sometimes magnetic resonance imaging are used for differential diagnosis of caesarean scar ectopic pregnancy. The most common treatment methods are; dilatation and curettage, local or systemic methotrexate application, selective uterine artery embolization and hysterotomy.

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