A Retrospective Analysis of the Treatment of Cesarean Scar Pregnancy by High-Intensity Focused Ultrasound, Uterine Artery Embolization and Surgery

Frontiers in Surgery
Shanyu FangLinsheng He

Abstract

Objective: This study aims to retrospectively analyze the clinical curative effects of surgery, uterine artery embolization (UAE), and high-intensity focused ultrasound (HIFU) in order to provide the theory and evidences for selecting the optimal treatment for cesarean scar pregnancy (CSP). Methods: Women with CSP were treated with surgery (laparoscopic, hysteroscopy, and hysteroscopy-laparoscopic surgery), UAE combined with curettage, and HIFU combined with curettage. The general conditions and therapeutic effects, including vital signs during the operation, discomfort of discharge, cure rate, total blood loss, decline in the rate of hCG, and hospital stay, were compared and analyzed. Results: For the 154 CSP patients, the cure rate of surgery (n = 95) was 97.89%, the cure rate of UAE (n = 32) was 43.74%, and the cure rate of HIFU (n = 27) was 70.37%. The difference was statistically significant (P < 0.05). Furthermore, the hCG level of surgical patients quickly declined, whereas HIFU slowly declined. The difference between the decline rate of hCG and mean hospitalization time was statistically significant (P < 0.05). UAE was good for CSP with gestational age <60 days and diameter of gestational sac <40 mm. Furthermore, HIFU w...Continue Reading

References

Jan 1, 1995·Ultrasound in Medicine & Biology·G ter Haar
Aug 15, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·Y-L WangH-S Chen
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Aug 9, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Huan-Ying WangHao-Feng Zhang
Sep 24, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jian-Hua WangLi-Li Huang
Jun 15, 2014·Gynécologie, obstétrique & fertilité·H-T Nguyen-XuanE Barranger
Oct 23, 2014·Journal of Gynecologic Surgery·Robert HudečekEva Jandakova
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Nov 1, 2015·Australasian Journal of Ultrasound in Medicine·Kelly Collins, Alka Kothari
Jul 2, 2017·BMC Pregnancy and Childbirth·Zhi-Da QianLi-Li Huang

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Methods Mentioned

BETA
hysterectomy
cesarean section
cesarean
pregnancy test

Software Mentioned

SPSS

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