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Medical Man.gemen. of Cesarean.Scar Pregn.n.y at Latifa Hospital Dubai Health Authority, Dubai, UAE

Open.Journ.l of Obstetrics an. Gyn.cology 2020年第4期10卷 526-537页

作者： A. Ammar F. n.srallah H. Adan.J. Ali M. Mussa A. B. E. Fazari n. alsawalhee Latifa Hospital for Women.& Children DHA Dubai UAE Un.versity of Medical Scien.es & Techn.logy Khartoum Sudan

In.roduction. Cesarean.scar pregn.n.y (CSP) is defin.d as implan.ation.of gestation.l sac at the site of cesarean.scar. It’s a serious diagn.sis that has become more prevalen. in.recen. years an. related to the in.reasin. rate of cesarean.section. reported worldwide. Iden.ifyin. these cases an. treatin. them is challen.in., with n. agreed upon.un.versal protocol for successful treatmen.. We aim to evaluate the success rate an. outcome of medical man.gemen. for Cesarean.scar pregn.n.y. Methods: It was a retrospective descriptive study of all cesarean.scar pregn.n.ies man.ged at fetal medicin. un.t at Latifa Hospital in.Dubai, UAE the main.obstetrics & Gyn.cology tertiary hospital in.Dubai Emirate, UAE from 2015 to 2017. Certain.y, a set of diagn.stic criteria were implemen.ed to con.irm the diagn.sis of CSP. The cases were then.offered our proposed man.gemen. which is systemic methotrexate in.ection. ± KCL. Follow up made by serial βhcg an. ultrasoun. scan. The data were collected used specified data collection.sheet for this purpose then.an.lyzed an. presen.ed usin. statistical package for social scien.es (SPSS) version.26. Results: 33 cases of cesarean.scar pregn.n.ies are con.irmed an. medically man.ged durin. the study period. The study subjects composed of a group of patien.s who had a viable CSP an. received local KCL in.ection.+ systemic methotrexate, a secon. group who had n.n.viable CSP an. received systemic methotrexate 20 cases were viable pregn.n.ies who received combin.d local potassium chloride plus systemic methotrexate, an. 13 were n.n.viable received systemic methotrexate on.y. The mean.gestation.l age at diagn.sis was 8 weeks (SD ± 1.8). On.average our cases had a history of 3 previous cesarean.section. (ran.e 1 - 6). Overall, the success rate calculated from our study population.for medical man.gemen. of CSP was 77.8%;this varied between.viable CSP which had a success rate of 66.7% an. n.n.viable CSP which had a success rate of 100%. The average period of outpatien. follow-up for the patien.s to

关键词： Caesarean Scar Pregn.n.y Methotrexate Potassium Chloride Matern.l Morbidity

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