Treatment of retaining reproductive function?in cesarean scar pregnancy:A clinical analysis of 46 cases
Strategic Study of CAE ›› 2015, Vol. 17 ›› Issue (6) : 45 -49.
To investigate the treatment methods of retaining reproductive function in cesarean scar pregnancy. Clinical datus of 46 casesSin our hospital during 2000―2014Swere analyzed retrospectively.SThere were 45 cases of first-trimesterSpregnancy andS1 case of second-trimester pregnancy. 13 casesS(28.9 %)Sof first-trimesteSpregnancy were misdiagnosed and had received artificial abortion before hospitalization. According to CSP classificationS,S19Scases were type I,S13 cases were Stype II,Sall cases wereSsuccessful inSretaining the uterus. 63.1 % of type IScases receivedSuterine curettage under ultrasoundSmonitoring,S21%Sof type I casesSreceivedSuterineScurettageSafter uterine artery embolizationS(UAE)S. 84.6 %Sof type IIScases received surgery in which lesion were resected and uterine scar were repaired. The csp patient of second-trimester pregnancy suffered from thrombosis of lower extremity and rebleeding 30 days after UAE, she received the surgery of resecting lesion. Conclusion: STheSkeySforStheSconservativeStreatmentSSofS CSPSSis early diagnosis and early treatment. TreatmentSshouldSbeSindividualizedSaccording to CSP clinicSclassification ,β-HCG and so on.Furthermore, there are still someSrisk of UAE.WeSshould be careful to select UAESfor patients.
Scesarean scar pregnancy / Sindividualized treatment / Spreservation of fertility / uterine artery embolization
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