Clinical Value of Ultrasonography in Predicting Massive Hemorrhage during Cesarean Scar Pregnancy.
- Author:
Kang-ning LI
1
;
Qing DAI
1
;
Zhen-zhen LIU
1
;
Na SU
1
;
Ming WANG
1
;
Yu-xin JIANG
1
Author Information
- Publication Type:Journal Article
- MeSH: Cesarean Section; Cicatrix; Female; Hemorrhage; diagnostic imaging; Humans; Logistic Models; Postoperative Complications; Pregnancy; Retrospective Studies; Risk Factors; Ultrasonography
- From: Acta Academiae Medicinae Sinicae 2015;37(5):585-590
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the clinical value of ultrasonography in predicting massive haemorrhage during Cesarean scar pregnancy.
METHODSThe clinical and ultrasonograhic data of 119 Cesarean scar pregnancy patients were retrospective analyzed. According to the amount of bleeding, these patients were divided into two groups:massive hemorrhage group and non-massive hemorrhage group. The potential risk factors of massive hemorrhage were analyzed with Logistic regression analysis.
RESULTSThe size and type of lesions, flow grade, and residual muscular thickness were screened as the risk factors of massive haemorrhage by Logistic regression model. When P=0.3 was applied as the cutoff value,the diagnostic accuracy was 90.75%;meanwhile,the sensitivity,specificity,positive predictive value, and negative predictive value were 88.23%, 91.76%, 81.08%, and 95.12%,respectively.
CONCLUSIONUltrasonography can accurately predict the risk of massive hemorrhage during the Cesarean scar pregnancy.
