Objective To study the diagnosis and treatment of cesarean scar pregnancy, and to provide a guideline for early diagnosis and treatment. Methods We retrospectively analyzed the medical history, diagnoses and treatments about 77 cases who were diagnosed with cesarean scar pregnancy. Results 77 cases got diagnosed by transvaginal color ultrasonography; Among al the patients, 72 cases were offered methotrexate injection in the gestational sac or cervical prior to hysteroscopic or laparoscopic uterine incision pregnancy resection, Another 5 cases were proceeded uterine suction curettage. Conclusion For cesarean scar pregnancy, transvaginal color ultrasonography can be used as the main method for diagnosis, methotrexate injection before hysteroscopic or laparoscopic uterine incision pregnancy resection could be an effective treatment.
Cesarean scar pregnancyTransvaginal color ultrasonographyMethotrexate