Evaluation of Therapeutic Effect of Transabdominal and Transvaginal Ultrasound on Cesarean Scar Pregnancy

Chunmei MENG; Kefan YE; Yunyu HE; Dongyan REN; Xiaomei WU; Yifeng ZHANG

doi:10.12259/j.issn.2095-610X.S20230113

Volume 44 Issue 1

Jan. 2023

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Article Navigation > Journal of Kunming Medical University > 2023 > 44(1): 65-69

Chunmei MENG, Kefan YE, Yunyu HE, Dongyan REN, Xiaomei WU, Yifeng ZHANG. Evaluation of Therapeutic Effect of Transabdominal and Transvaginal Ultrasound on Cesarean Scar Pregnancy[J]. Journal of Kunming Medical University, 2023, 44(1): 65-69. doi: 10.12259/j.issn.2095-610X.S20230113

Citation:

Chunmei MENG, Kefan YE, Yunyu HE, Dongyan REN, Xiaomei WU, Yifeng ZHANG. Evaluation of Therapeutic Effect of Transabdominal and Transvaginal Ultrasound on Cesarean Scar Pregnancy[J]. Journal of Kunming Medical University, 2023, 44(1): 65-69. doi: 10.12259/j.issn.2095-610X.S20230113

Citation:

Chunmei MENG, Kefan YE, Yunyu HE, Dongyan REN, Xiaomei WU, Yifeng ZHANG. Evaluation of Therapeutic Effect of Transabdominal and Transvaginal Ultrasound on Cesarean Scar Pregnancy[J]. Journal of Kunming Medical University, 2023, 44(1): 65-69. doi: 10.12259/j.issn.2095-610X.S20230113

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Evaluation of Therapeutic Effect of Transabdominal and Transvaginal Ultrasound on Cesarean Scar Pregnancy

doi: 10.12259/j.issn.2095-610X.S20230113

Dept. of Gynecology，The 1st People’s Hospital of Yunnan Province， Kunming Yunnan 650034，China

Received Date: 2022-09-18
Publish Date: 2023-01-25

Abstract

Abstract

Objective To investigate the clinical significance of color Doppler ultrasound in the diagnosis and treatment of cesarean scar pregnancy. Methods A total of 82 CSP patients diagnosed and treated in the Department of Gynecology of Yunnan First People’s Hospital from January 2019 to December 2021 were collected, and their diagnosis and treatment processes were retrospectively analyzed. A retrospective analysis of the clinical value of ultrasound in the diagnosis and treatment of CSP was carried out. The results of statistical analysis of data by SPSS19.0, Chi square test analysis of inter group comparison and paired T test were used for the comparison and analysis before and after the surgery Results There was the statistical significance in selecting individualized treatment plan after the classification diagnosis of CSP by B-ultrasound. The larger the lesion area, the higher the abnormal probability of postoperative B-ultrasonography and the difference was statistically significant （P = 0.002）; The abnormal rate of GSP type II was higher than that of type Ⅰ and type Ⅲ （P = 0.027）; In terms of operation mode, the abnormal rate of hysteroscopic lesion extraction was lower than that of B-ultrasound guided high-risk abortion and laparoscopic lesion extraction, and the difference was statistically significant （P = 0.002）; There was no significant difference between the number of cesarean section, the blood supply of the focus and the results of postoperative ultrasound （andP values were 1.300/0.558, -/0.059, respectively）. At the same time, the individualized treatment should be fully combined with other relevant test indicators of CSP. Conclusion Transabdominal combined vaginal color Doppler ultrasound has a very important clinical value in the clinical diagnosis and treatment of uterine scar pregnancy.
- Ultrasound,
- Cesarean section,
- Scar pregnancy,
- Ultrasound classification

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References(19)

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