Cesarean Scar Pregnancy Diagnosis and Pathogenesis

Cesarean Scar Pregnancy Diagnosis and Pathogenesis
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DOI:
10.1016/j.ogc.2019.07.009
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发表时间:
2019-12-01
影响因子:
3.2
通讯作者:
Agten, Andrea Kaelin
Agten, Andrea Kaelin
中科院分区:
医学3区
文献类型:
--
作者:
Timor-Tritsch, Ilan E.;Monteagudo, Ana;Agten, Andrea Kaelin

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剖腹产疤痕妊娠是先前剖腹产的潜在危险后果。如果未被识别和管理不当,可能会导致整个怀孕三个月期间出现不良并发症。发生率与剖宫产率平行。剖腹产的晚期后果,例如前置胎盘和植入胎盘,人们很早就知道了。然而,产科界花了十多年的时间才将剖宫产疤痕妊娠与胎盘植入谱系联系起来。本文讨论剖宫产疤痕妊娠的发病机制和诊断。
Cesarean scar pregnancy is a potentially dangerous consequence of a previous cesarean delivery. If unrecognized and inadequately managed, it can lead to untoward complications throughout all three trimesters of the pregnancy. The rate of occurrence parallels the mounting rate of cesarean sections. The late consequences of cesarean delivery, such as placenta previa and placenta accrete, were known for a long time. However, it took more than a decade for the obstetric community to make the connection between the cesarean scar pregnancy and the placenta accrete spectrum. This article discusses the pathogenesis and diagnosis of cesarean scar pregnancy.