Evaluation of prognostic value of cesarean section scar pregnancy after uterine arterial chemoembolization with cesarean section by ultrasonography
10.3760/cma.j.issn.1004-4477.2020.01.009
- VernacularTitle: 超声动态评估子宫动脉栓塞后清宫治疗瘢痕妊娠预后的临床价值
- Author:
Zhonghui JIANG
1
;
Keting LI
2
;
Yanqiu XIE
1
;
Xinyu WU
1
;
Jiawei TIAN
1
;
Min REN
2
Author Information
1. Department of Ultrasound, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China
2. Department of Ultrasound Medicine, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 201200, China
- Publication Type:Clinical Trail
- Keywords:
Ultrasonography;
Cesarean scar pregnancy;
Uterine artery embolization;
Curettage
- From:Chinese Journal of Ultrasonography
2020;29(1):47-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the clinical value of uterine curettage ultrasound in the evaluation of cesarean section scar pregnancy (CSP) after uterine arterial chemoembolization (UAE).
Methods:Retrospective analysis were performed in 42 patients who took uterine curettage within 24-48 hours after UAE treatment in the Second Affiliated Hospital of Harbin Medical University from January 2015 to June 2018. The ultrasonic manifestations were graded and classified before UAE. The intraoperative and postoperative complications, time of β-human chorionic gonadotrophin declined to normal limits were evaluated, and the formation of hematoma and hematoma absorption time were followed up by ultrasound.
Results:UAE was performed successfully in all patients. The ultrasound-guided scar pregnancy was successfully completed. The uterus was successfully retained in all patients.Among the 42 patients, 18 cases were 3 scores group, and 24 cases were 4 scores group according to the ultrasonic scoring system. Two cases were type Ⅰgroup, 25 cases were type Ⅱ group, and 15 cases were type Ⅲ group according to the ultrasonic classification. The amount of intraoperative complications, postoperative mass formation and absorption time were significantly different between 3 scores group and 4 scores group (P<0.05). No significant differences were found in intraoperative complications, postoperative complications, postoperative mass formation and β-human chorionic gonadotropin (β-hCG) value among different ultrasonic classification groups (P>0.05).
Conclusions:Ultrasonography has clinical application value in evaluating the prognosis of CSP treated with UAE. Ultrasonic scoring system can evaluate the efficacy and is helpful for predicting clinical outcome of CSP.
