The value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancy
Background: To evaluate the efficacy of transvaginal sonography (TVS) in the management of cesarean scar pregnancy (CSP). Methods: In this retrospective study conducted at Beijing Friendship Hospital of Capital Medical University, 142 CSP patients were collected from January 2015 to September 2019....
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| Format: | Article |
| Language: | English |
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IMR Press
2021-12-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/48/6/10.31083/j.ceog4806217 |
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| author | Yue Li Yuan Su Fanxuan Kong Yu Yang Linxue Qian |
| author_facet | Yue Li Yuan Su Fanxuan Kong Yu Yang Linxue Qian |
| author_sort | Yue Li |
| collection | DOAJ |
| description | Background: To evaluate the efficacy of transvaginal sonography (TVS) in the management of cesarean scar pregnancy (CSP). Methods: In this retrospective study conducted at Beijing Friendship Hospital of Capital Medical University, 142 CSP patients were collected from January 2015 to September 2019. Patients were divided into two groups, laparoscopy use group (Lap) and no laparoscopy use group (non-Lap) determined by the use of laparoscopy. The ultrasound parameters analyzed between these groups included maximal diameter of gestational sac, presence of fetal heartbeat, local myometrial thickness and grading of color Doppler signals. Results: The maximal diameter of gestational sac in the non-Lap and Lap groups was 2.330 ± 0.930 cm and 2.883 ± 0.420 cm respectively, p = 0.007. Local myometrial thickness was 0.25 (0.16) cm vs 0.16 (0.073) cm, p < 0.001. A positive fetal heartbeat and a grade III color Doppler signals were associated with the use of laparoscopy. Conclusions: TVS is beneficial for the effective treatment of women with CSP. |
| format | Article |
| id | doaj-art-799ebb171cbd4fe6acf809246a7b4d31 |
| institution | OA Journals |
| issn | 0390-6663 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-799ebb171cbd4fe6acf809246a7b4d312025-08-20T01:57:44ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-12-014861368137310.31083/j.ceog4806217S0390-6663(21)01639-0The value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancyYue Li0Yuan Su1Fanxuan Kong2Yu Yang3Linxue Qian4Department of Ultrasound, Beijing Friendship Hospital, Capital Medical University, 100050 Beijing, ChinaDepartment of Ultrasound, Beijing Friendship Hospital, Capital Medical University, 100050 Beijing, ChinaDepartment of Neurosurgery, PLA Strategic Support Force Characteristic Medical Center, 100101 Beijing, ChinaDepartment of Ultrasound, Beijing Friendship Hospital, Capital Medical University, 100050 Beijing, ChinaDepartment of Ultrasound, Beijing Friendship Hospital, Capital Medical University, 100050 Beijing, ChinaBackground: To evaluate the efficacy of transvaginal sonography (TVS) in the management of cesarean scar pregnancy (CSP). Methods: In this retrospective study conducted at Beijing Friendship Hospital of Capital Medical University, 142 CSP patients were collected from January 2015 to September 2019. Patients were divided into two groups, laparoscopy use group (Lap) and no laparoscopy use group (non-Lap) determined by the use of laparoscopy. The ultrasound parameters analyzed between these groups included maximal diameter of gestational sac, presence of fetal heartbeat, local myometrial thickness and grading of color Doppler signals. Results: The maximal diameter of gestational sac in the non-Lap and Lap groups was 2.330 ± 0.930 cm and 2.883 ± 0.420 cm respectively, p = 0.007. Local myometrial thickness was 0.25 (0.16) cm vs 0.16 (0.073) cm, p < 0.001. A positive fetal heartbeat and a grade III color Doppler signals were associated with the use of laparoscopy. Conclusions: TVS is beneficial for the effective treatment of women with CSP.https://www.imrpress.com/journal/CEOG/48/6/10.31083/j.ceog4806217cesarean scar pregnancyultrasoundlaparoscopy |
| spellingShingle | Yue Li Yuan Su Fanxuan Kong Yu Yang Linxue Qian The value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancy Clinical and Experimental Obstetrics & Gynecology cesarean scar pregnancy ultrasound laparoscopy |
| title | The value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancy |
| title_full | The value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancy |
| title_fullStr | The value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancy |
| title_full_unstemmed | The value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancy |
| title_short | The value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancy |
| title_sort | value of transvaginal sonography in predicting salvage use of laparoscopy for cesarean scar pregnancy |
| topic | cesarean scar pregnancy ultrasound laparoscopy |
| url | https://www.imrpress.com/journal/CEOG/48/6/10.31083/j.ceog4806217 |
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