Clinical characteristics and treatment strategy of cesarean scar pregnancy

VernacularTitle:剖宫产瘢痕部位妊娠的临床特征及治疗策略
Author: Jun WANG ; Feifei GOU ; Yuan GONG ; Huimin ZHANG ; Enli JIANG ; Wentong LIANG ; Donglin LI
Keywords: cesarean scar pregnancy; early pregnancy complications; ectopic pregnancy
From: The Journal of Practical Medicine 2017;33(14):2322-2324
CountryChina
Language:Chinese
Abstract: Objective To explore the characteristics of cesarean scars pregnancy(CSP)and discuss differ-ent therapeutic methods and clinical outcomes. Methods Clinical data of 96 cases of CSP were collected from Sep-tember 2013 to October 2016 and patients′ clinical features,intra-operative findings,β-HCG,vaginal bleeding duration,hospital stay and cost and effects of different treatments were recorded and analyzed. Results The types of CSP were the determinant of lesion resection ,followed by the tumor size and blood β-HCG levels. The cases of uterine lesion resection and general uterine curettage with UAE had less blood loss than those without UAE. The cases of uterine lesion resection had short hospital stay and those with general uterine curettage had longer vaginal bleeding duration. Conclusion TVCD and MRI have important values in the diagnosis of CSP. During the treatment of CSP,personalized treatment planning,early diagnosis and treatment exert influence on reducing complications.