文档介绍：
Laparoscopic surgery for ectopic pregnancy within
caesarean scar
JIANG Sheng1,2,3, SHENG Xiugui1,2,3*
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(1. Department of Gynecologic Oncology, Shandong Tumor Hospital;
2. Shandong Academy of Medical Science;
3. Cancer Prevention and Research Institute of Shandong Province)
Abstract: Background: Ectopic pregnancy in a previous caesarean section scar is rarely reported. And
it is very difficult to manage it. There have been only 12 cases were essfully managed under
laparoscopy to date. Cases: Two females were admitted to our hospital and were suspected suffering
from ectopic pregnancy in a previous caesarean section scar under the impression of Doppler
ultrasound. Conservative regimen was first applied to one patient but failed to demonstrate enough
efficacy. The β-HCG of the other patient was extremely high so conservative treatment was not
considered. Then laparoscopic surgery was performed for the two patients and not only confirmed the
diagnosis but also removed the ectopic gestational products essfully. The operation under
laparoscopy was very smoothly. Total operation time was 80 minutes, blood loss was only about 100ml
and blood transfusion was not necessary. Conclusion: It seems that for a skilled surgeon, laparoscopy
may be a sound and reasonable technique to diagnose and resect ectopic pregnancy within a caesarean
scar.