- 期刊
Methotrexate Followed by Suctional Curettage: A Successful Treatment for Cesarean Scar Pregnancy
並列摘要
Objective: To report the conservative management of a patient with cesarean scar pregnancy. Case Report: A 28-year-old woman, gravida 3, para 2, was initially diagnosed by transvaginal sonography to have a single viable gestation in a uterine scar. A single dose of systemic methotrexate 50 mg was given intramuscularly. A suctional curettage was then performed successfully. Serum levels of β-human chorionic gonadotropin returned to normal 21 days later. The patient had suffered from persistent vaginal spotting for 2 months, but no major complications were noted at follow-up. Conclusion: To preserve fertility, systemic intramuscular methotrexate followed by suctional curettage may be a safe treatment alternative for cesarean scar pregnancies.
延伸閱讀
- 陳麗梅、吳佩芬、蕭麗珠、江玲玲、黃秀雲（1998）。Promoting Quality of Care for Patients with Cesarean Section by Implementing Clinical Pathways。秀傳醫學雜誌，1(1)，20-33。https://www.airitilibrary.com/Article/Detail?DocID=15610497-199810-1-1-20-33-a
- Kang, F. C., Tsai, Y. C., Chang, P. J., & Chen, T. Y. (1998). Subarachnoid Fentanyl with Diluted Small-Dose Bupivacaine for Cesarean Section Delivery. Acta Anaesthesiologica Sinica, 36(4), 207-214. https://doi.org/10.6955/AAS.199812.0207
- Bohman, V. R., III, L. C. G., Ramin, S. M., Little, B. B., Ramos, R. S., Goldaber, K. G., Dax, J., & Leveno, K. J. (1994). Subcutaneous Tissue: To Suture or Not to Suture at Cesarean Section. Infectious Diseases in Obstetrics and Gynecology, 1994(), 259-264. https://doi.org/10.1155/S1064744994000219
- 顏妙如、曾泰霖、林宜靜、郭嘉翎（2013）。A Case Report of Methotrexate Dosage Error for an Ectopic Pregnancy。臺灣臨床藥學雜誌，21(2)，175-179。https://doi.org/10.6168/FJCP.2013.2102.10
- Chung, P. Y. (2003). A clinical audit on Caesarean section indications and outcomes [master's thesis, The University of Hong Kong]. Airiti Library. https://www.airitilibrary.com/Article/Detail?DocID=U0029-1812201200000635