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首页> 外文期刊>The journal of maternal-fetal & neonatal medicine >Is ultrasound-guided suction curettage a reliable option for treatment of cesarean scar pregnancy? A cross-sectional retrospective study
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Is ultrasound-guided suction curettage a reliable option for treatment of cesarean scar pregnancy? A cross-sectional retrospective study

机译：超声波引导的吸入刮曲线是治疗剖腹瘢痕怀孕的可靠选择吗？ 横断面回顾性研究

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摘要

Purpose: The purpose of our study is to present clinical courses and outcomes of 50 first-trimester cesarean scar pregnancy (CSP) cases, which are managed either with transabdominal ultrasound (TAUS)-guided suction curettage alone or abdominal hysterotomy. Methods: We retrospectively analyzed our records from 2011 to 2016 at a single-center. TAUS-guided suction curettage alone was preferred in hemodynamically stable patients when the myometrial thickness was >=3mm and there was no vascular invasion. If the myometrial thickness was <3 mm and/or vascular invasion was present, then hysterotomy was preferred. Results: Statistical analysis of age, gravidity, parity, history of previous CS (>3 or <3), presence of embryonic cardiac activity, complaints (vaginal bleeding, pelvic pain, or both), preoperative and postoperative hemoglobin levels (g/dl), blood transfusion, initial serum beta-hCG levels, and duration to resolution of bata-hCG demonstrated no significant difference between TAUS-guided suction curettage and abdominal hysterotomy groups. There was a significant difference between two groups in terms of postoperative length of stay in the hospital and gestational age.
机译：目的：我们的研究目的是呈现50名孕中期患者的临床课程和结果，其与单独或腹部血清术中的跨腹部超声（TAUS） - 术曲线进行​​管理。方法：我们回顾性地分析了2011年至2016年的记录在一个中心。当血流动力学稳定的患者中，单独的Taus引导的吸入刮曲线在肌动态厚度> = 3mm时，没有血管侵袭。如果存在肌瘤厚度<3mm和/或血管侵袭，则血管切开术是优选的。结果：统计分析年龄，孕折，奇偶校验，先前Cs（> 3或<3）的历史，胚胎心脏活性的存在，抱怨（阴道出血，盆腔疼痛或两者），术前和术后血红蛋白水平（G / DL ）输血，初始血清β-HCG水平和分辨率的持续时间对塔斯引导的抽吸刮宫和腹腔切开术之间没有显着差异。两组在医院和胎龄的术后长度方面存在显着差异。

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