Volume 19 Issue 2
Feb.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(2): 283-286
SHI Cai-hong, LIU Xue-ge, MENG Hui-yan, WEI Yue-liu. Significance of ultrasound examination in the evaluation and treatment of uterine scar pregnancy[J]. Chinese Journal of General Practice, 2021, 19(2): 283-286. doi: 10.16766/j.cnki.issn.1674-4152.001789
Citation: SHI Cai-hong, LIU Xue-ge, MENG Hui-yan, WEI Yue-liu. Significance of ultrasound examination in the evaluation and treatment of uterine scar pregnancy[J]. Chinese Journal of General Practice, 2021, 19(2): 283-286. doi: 10.16766/j.cnki.issn.1674-4152.001789
shu

Significance of ultrasound examination in the evaluation and treatment of uterine scar pregnancy

doi: 10.16766/j.cnki.issn.1674-4152.001789

  • Department of Ultrasound, Ruikang Hospital, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi 530011, China

Funds:

 20200246

  • Received Date: 2019-06-11
    Available Online: 2022-02-19
    Abstract
  •   Objective  To explore the ultrasonographic characteristics, surgical methods and postoperative recovery of different types of cesarean scar pregnancy (CSP) patients.  Methods  Ninety-two cases of CSP diagnosed and treated in our hospital from January 2015 to December 2018 were analysed. The general clinical data, ultrasonographic features, operation and postoperative recovery were compared. The data were analysed by SPSS 23.0 statistical software.  Results  A total of 92 CSP patients were divided into 28 cases of type Ⅰ, 45 cases of type Ⅱ and 19 cases of type Ⅲ. No significant difference in age, menopause time, distance from the last caesarean section and serum β-HCG content was found before treatment (all P>0.05), but a significant difference in the number of induced abortion and caesarean section was observed (all P < 0.05). Significant differences in the thickness of the anterior inferior segment of the uterus, the percentage of villus invading the myometrium, the percentage of small amount of blood flow and rich blood flow in Alder classification were found (all P < 0.05). Moreover, statistical differences in the ratio of type A operation to type B operation and hospitalisation time were observed (all P < 0.05). However, no significant difference in the time when β-HCG dropped to normal was observed (P>0.05).  Conclusion  There are some differences in the general clinical, ultrasonic features, surgical methods and postoperative recovery of CSP patients with different ultrasonic classification. Ultrasound examination has certain guiding value for the classification of CSP and the selection of surgical methods.

     

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