akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347.2017.11.4.048-056akusherstvo-450Research ArticleREVIEW ARTICLEНАУЧНЫЙ ОБЗОРLONG-TERM RISKS OF CESAREAN DELIVERY: CESAREAN SCAR PREGNANCY. A SYSTEMATIC REVIEWОТДАЛЕННЫЕ РИСКИ КЕСАРЕВА СЕЧЕНИЯ: БЕРЕМЕННОСТЬ В РУБЦЕ НА МАТКЕ. ОБЗОР ЛИТЕРАТУРЫСидоровА. Е.SidorovA. E.

Сидоров Анатолий Евгеньевич – кандидат медицинских наук, доцент кафедры акушерства и гинекологии им. Г.М. Воронцовой.

  пр-кт Московский, 15, Чебоксары,  428015.

Sidorov Anatoliy Evgenevich – PhD, Assistant Professor, Obstetrics and Gynecology Department n.a. G.M. Vorontsova.

  pr-kt Moskovskiy, 15, Cheboksary, 428015. 

9023595611@mail.ruГунинА. Г.GuninA. G.

Гунин Андрей Германович – доктор медицинских наук, профессор кафедры акушерства и гинекологии им. Г.М. Воронцовой.

пр-кт Московский, 15, Чебоксары,  428015.

Gunin Andrei Germanovich – MD, Professor, Obstetrics and Gynecology Department n.a. G.M. Vorontsova.

  pr-kt Moskovskiy, 15, Cheboksary, Russia, 428015.

ЧернышовВ. В.ChernyshovV. V.

Чернышов Виталий Васильевич – кандидат медицинских наук, доцент кафедры акушерства и гинекологии им. Г.М. Воронцовой. 

пр-кт Московский, 15, Чебоксары,  428015.

Chernyshov Vitaliy Vasilyevich – PhD, Assistant Professor, Obstetrics and Gynecology Department n.a. G.M. Vorontsova.

  pr-kt Moskovskiy, 15, Cheboksary, Russia, 428015.

ФГБОУ ВО «Чувашский государственный университет имени И.Н. Ульянова».РоссияChuvash State University named after I.N. Ulyanov.Russian Federation2017180220181144856Copyright © Sidorov A.E., Gunin A.G., Chernyshov V.V., 20182018Сидоров А.Е., Гунин А.Г., Чернышов В.В.Sidorov A.E., Gunin A.G., Chernyshov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/450

One type of ectopic pregnancy is where the pregnancy is implanted in the scar left in the uterus following a cesarean section; these cases are thought to be one in 1800-3000 pregnancies. The increase in the incidence of cesarean scar pregnancy (CSP) is a consequence of the increasing rates of cesarean delivery. If misdiagnosed CSP can be a cause of life-threatening pregnancy complications. They include morbidly adherent placenta, placenta previa, and severe hemorrhage. If such a pregnancy is allowed to continue, a uterine scar rupture with hemorrhage will ensue and necessitate hysterectomy. It is therefore crucial to timely diagnose and manage these pregnancies. The therapeutic options can be medical, surgical, or a combination of both. However there has been no consensus on the management still yet. In this article, there is a systematic up-to-date review on CSP diagnosis, treatment and prevention measures.

Одной из наиболее редких форм внематочной беременности является имплантация беременности в рубец на матке (БРМ) после кесарева сечения. Частота этой формы внематочной беременности составляет 1 случай на 1800-3000 беременностей. Увеличение числа родов путем кесарева сечения неминуемо ведет к увеличению числа случаев БРМ. Ошибки в диагностике БРМ часто ведут к возникновению угрожающих жизни осложнений – приращение плаценты, предлежание плаценты, массивное кровотечение. Прогрессирование такой беременности заканчивается разрывом матки по рубцу, кровотечением и необходимостью выполнения гистерэктомии. В связи с этим очень важно своевременно выставить диагноз и незамедлительно приступить к лечению этой патологии. В настоящее время существуют как консервативные, так и хирургические методы лечения. Однако единой тактики до сих пор нет. В статье приведен обзор современной литературы по вопросам диагностики, лечения и профилактики БРМ.

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The authors declare that there are no conflicts of interest present.