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| Ultrasonographic diagnosis of uterine scar pregnancy and its guiding significance for treatment |
| Suqian Hospital, Drum Tower Hospital, Suqian Jiangsu 223800, China |
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Abstract Objective: To investigate the clinical value of color Doppler ultrasonography in the diagnosis of scar pregnancy after cesarean section and its significance in the selection of treatment regimen. Methods: To retrospectively analyze 40 cases of ultrasound consideration of scar pregnancy in patients undergoing outpatient suction curettage and hospital treatment from Jan 2014 to Nov 2016. We recorded the size of the pregnancy, whether having yolk sac and germ, the thickness of local muscle, choice of treatment, and ultrasound image outcome after treatment. Results: ①According to the ultrasound image, there were 3 cases of mass type and 37 cases of gestational sac type. ②Three cases of mass type were all surgical resected. ③Twenty five cases were located in part or most of the intrauterine received curettage or surgical resection. ④Twelve cases were located in scar muscle layer, which were surgical resected after taking oral mifepristone, methotrexate chemotherapy and uterine artery embolization. Conclusions: Ultrasonography can be used to identify whether having scar pregnancy, and the embedment of gestational sac and scar mosaic, so as to guide the option of treatment.
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Received: 05 December 2016
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