Clinical effect of interventional method combined with curettage for the treatment of cesarean scar pregnancy bleeding

doi:10.3877/cma.j.issn.2095-5782.2016.01.006

Abstract

Abstract:

Objective

To investigate the clinical effect of interventional therapy combined with curettage for the treatment of cesarean scar pregnancy bleeding.

Methods

Retrospective analysis was performed to analyze the clinical data of 32 cases of cesarean scar pregnancy in our hospital from March 2012 to March 2014.

Results

Among 32 cases, bleeding occurred during abortion in 5 cases because diagnosis not confirmed before the procedure. The interventional method of uterine arterial embolization, was combined with curettage treatment after the embolization. Uterine arterial embolization followed by curettage was performed in the 27 cases with confirmed diagnosis. No bleeding phenomenon occurred, and uterus was preserved in all the cases.

Conclusions

Hemorrhage is most likely to occur in patients with CSP. UAE combined with curettage is effective and safe method to treat CSP.

Key words: Interventional therapy, Curettage, Cesarean, Scar

Lei Zhang, Yongxu Mu, Ruiqiang Yan, Haiyan Liu, Chang Jin, Changsheng Wu, Ning Dong. Clinical effect of interventional method combined with curettage for the treatment of cesarean scar pregnancy bleeding[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2016, 04(01): 21-23.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2016.01.006

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2016/V04/I01/21

Figures/Tables 2

References 7

1	Rotas MA,Haberman S,Levgur M. Cesarean scar ectopic pregnancies etiology,diagnosis, and management[J].Obstet Gynecol,2006,107(6):1373-1381.
2	罗辉，姚爱香，张丰萍. 子宫动脉灌注化疗栓塞联合宫腔镜清宫治疗剖宫产瘢痕妊娠[J]. 中国微创外科杂志，2014,14(6):568-569.doi:10.3969/j.issn.1009-6604.2014.06.027.
3	Gao L,Huang Z, Gao J,et al. Uterine artery embolization followed by dilation and curettage within 24 hours compared with systemic methotrexate for cesarean scar pregnancy[J].Int Gynaecol Obstet,2014,127(2):147-151. doi: 10.1016/j.ijgo.2014.05.005.
4	耿淑平, 丁文斌.剖宫产子宫瘢痕妊娠的介入治疗评价[J].中国西部科技,2008,7(29):58. doi:10.3969/j.issn.1671-6396.2008.29.029.
5	Cao S,Zhu L,Jin L,et al.Uterine artery embolization in cesarean scar pregnancy: safe and effective intervention[J].Chin Med J(Engl),2014,127(12):2322-2326.
6	李统怀,郑红枫.子宫动脉栓塞治疗子宫瘢痕妊娠11例[J].介入放射学杂志,2011,20(11):898-900. doi:10.3969/j.issn.1008-794X.2011.11.016.
7	Yin XH,Yang SZ,Wang ZQ,et al. Injection of MTX for the treatment of cesarean scar pregnancy: comparison between different methods[J].Int J Clin Exp Med,2014,7(7):1867-1872.

[1]	Xiaoqing Ju, Yunjie Jin, Xiaoyan Wang. Influencing factors of uterine rupture during vaginal delivery in patients with scarred uterus after cesarean section [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 575-581.
[2]	Mengling Zhou, Zhiwei Xue, Shu Zhou. Changes in size of uterine myoma during pregnancy and its association with adverse pregnancy outcomes [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(05): 611-615.
[3]	Li Chen, Xueqin Lei, Lian Duan, Yue Zeng, Guolin He. Analysis of influencing factors of success of trial of labor after twice cesarean sections and its pregnancy outcomes [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(03): 287-294.
[4]	Yijun Yang, Wen Dong, Xiaoping Liu, Can Shi, Lei Zhang, jin Gu, Mi Gong, Fu Hua. Efficacy of laparoscopic folding suture combined with hysteroscopic iverticulum incision in the treatment of cesarean scar diverticulum [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(03): 330-337.
[5]	Miao Zhen, Jingting Li, Peng Wang, Bin Shu. Effects of epidermal stem cell-derived exosomes on hypertrophic scars fibroblasts [J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(02): 134-143.
[6]	Dongni Lin, Ping Wan, Qiang Xia. New progress in liver transplantation for ornithine transcarbamylase deficiency [J]. Chinese Journal of Transplantation(Electronic Edition), 2023, 17(03): 180-185.
[7]	Xiaoyong Wei. Discussion on the focus issues of conversion therapy for primary liver cancer [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 602-607.
[8]	Xiuying Jin, Feng Chen. Diagnostic value of transabdominal and transvaginal ultrasonography combined with serumβ-HCG detection in cesarean scar pregnancy [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(03): 155-159.
[9]	Zhongbai Liu, Yongjun Ren. Current status and progress of interventional therapy for hepatocellular carcinoma [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(02): 111-115.
[10]	Yongfei Yue, Liping Zhu, Xiaoyan Wang. Evaluation of blood loss by magnetic resonance imaging during cesarean section in placenta accreta spectrum disorders [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2023, 12(03): 167-172.
[11]	Xiaoqin Lu, Xianbao Liu, Shangqian Long, Kexin Song, Yanhong Deng, Chunfang Zhang. Anesthetic decision-making, maternal and neonatal prognosis of cesarean section in patients with different degrees of placenta accreta [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2023, 12(03): 187-192.
[12]	Lan Jiang, Weixiang Liang, Chunhong Su, Zhiyuan Su, Dandan Liu, Li Dai, Dunjin Chen. Evaluation of perioperative cardiac volume and function by echocardiography in pregnant patients with severe heart disease during caesarean section: 14 cases analysis [J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2023, 12(01): 28-35.
[13]	Shikai Li, Jia Liang, Yanyan He, Yi Yu, Tianxiao Li, Jinlong Chang, Yingkun He. Research progress of carotid atherosclerotic stenosis rabbit model for interventional therapy [J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2023, 11(04): 357-362.
[14]	Jie Yin, Chi Wang, Yue Liu, Yanhua Li. A preliminary study on interventional treatment methods and therapeutic effects for hepatic hemangioma in children [J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2023, 11(01): 6-11.
[15]	Xinpeng Jiang, Xiaoming Li, Hang Yang, Yichen Gong, Yuanhao Fu, Yu Fu, Zhe Zhang. Evaluation of the safety and efficacy of patent foramen ovale closure guided by transthoracic echocardiography [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 320-324.

Please choose a citation manager

Content to export