High-Risk Factors for Hemorrhage in Hysteroscopic Curettage for Cesarean Scar Pregnancy
Background: With the increase in cesarean sections, the occurrence of cesarean scar pregnancies has shown a significant upward trend. To investigate the high-risk factors for hemorrhage during hysteroscopy for cesarean scar pregnancy (CSP)....
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IMR Press
2025-03-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/52/3/10.31083/CEOG26724 |
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| author | Qing Yang Xiaodie Xiang Cong Li |
| author_facet | Qing Yang Xiaodie Xiang Cong Li |
| author_sort | Qing Yang |
| collection | DOAJ |
| description | Background: With the increase in cesarean sections, the occurrence of cesarean scar pregnancies has shown a significant upward trend. To investigate the high-risk factors for hemorrhage during hysteroscopy for cesarean scar pregnancy (CSP). Methods: This is a retrospective case-control study. A total of 338 cases of CSP were divided into-hemorrhage group and non-hemorrhaged group according to the volume of hemorrhage. The collected data included maternal age, duration of amenorrhea, frequency and interval time of cesarean sections, number of induced abortions, pre-treatment human chorionic gonadotropin (hCG) levels, gestational sac length, myometrial thickness at the uterine scar, blood flow signal around the gestational sac as detected by ultrasound, and CSP classification. Statistical analysis was performed to assess differences between the two groups. Results: Statistically significant differences between the two groups were observed in the duration of amenorrhea, gestational sac length, myometrial thickness at the uterine scar, and blood flow signal around the gestational sac. Hysteroscopic curettage for CSP was found to be safe and feasible when the duration of amenorrhea was <49 days, the gestational sac length was <30 mm, the resistance index (RI) of the blood flow signal around the gestational sac was >0.4, and the myometrial thickness at the uterine scar was >2 mm. Conclusions: Hysteroscopic curettage is a safe and effective procedure for CSP in carefully selected patients. |
| format | Article |
| id | doaj-art-a771f767b97e49558d0fcf2e6455fe50 |
| institution | DOAJ |
| issn | 0390-6663 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-a771f767b97e49558d0fcf2e6455fe502025-08-20T02:48:28ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632025-03-015232672410.31083/CEOG26724S0390-6663(25)02571-0High-Risk Factors for Hemorrhage in Hysteroscopic Curettage for Cesarean Scar PregnancyQing Yang0Xiaodie Xiang1Cong Li2Department of Gynecology, First Affiliated Hospital of Chongqing Medical University, 400016 Chongqing, ChinaDepartment of Gynecology, First Affiliated Hospital of Chongqing Medical University, 400016 Chongqing, ChinaDepartment of Gynecology, First Affiliated Hospital of Chongqing Medical University, 400016 Chongqing, ChinaBackground: With the increase in cesarean sections, the occurrence of cesarean scar pregnancies has shown a significant upward trend. To investigate the high-risk factors for hemorrhage during hysteroscopy for cesarean scar pregnancy (CSP). Methods: This is a retrospective case-control study. A total of 338 cases of CSP were divided into-hemorrhage group and non-hemorrhaged group according to the volume of hemorrhage. The collected data included maternal age, duration of amenorrhea, frequency and interval time of cesarean sections, number of induced abortions, pre-treatment human chorionic gonadotropin (hCG) levels, gestational sac length, myometrial thickness at the uterine scar, blood flow signal around the gestational sac as detected by ultrasound, and CSP classification. Statistical analysis was performed to assess differences between the two groups. Results: Statistically significant differences between the two groups were observed in the duration of amenorrhea, gestational sac length, myometrial thickness at the uterine scar, and blood flow signal around the gestational sac. Hysteroscopic curettage for CSP was found to be safe and feasible when the duration of amenorrhea was <49 days, the gestational sac length was <30 mm, the resistance index (RI) of the blood flow signal around the gestational sac was >0.4, and the myometrial thickness at the uterine scar was >2 mm. Conclusions: Hysteroscopic curettage is a safe and effective procedure for CSP in carefully selected patients.https://www.imrpress.com/journal/CEOG/52/3/10.31083/CEOG26724cesarean scar pregnancyhysteroscopyhemorrhagerisk factors |
| spellingShingle | Qing Yang Xiaodie Xiang Cong Li High-Risk Factors for Hemorrhage in Hysteroscopic Curettage for Cesarean Scar Pregnancy Clinical and Experimental Obstetrics & Gynecology cesarean scar pregnancy hysteroscopy hemorrhage risk factors |
| title | High-Risk Factors for Hemorrhage in Hysteroscopic Curettage for Cesarean Scar Pregnancy |
| title_full | High-Risk Factors for Hemorrhage in Hysteroscopic Curettage for Cesarean Scar Pregnancy |
| title_fullStr | High-Risk Factors for Hemorrhage in Hysteroscopic Curettage for Cesarean Scar Pregnancy |
| title_full_unstemmed | High-Risk Factors for Hemorrhage in Hysteroscopic Curettage for Cesarean Scar Pregnancy |
| title_short | High-Risk Factors for Hemorrhage in Hysteroscopic Curettage for Cesarean Scar Pregnancy |
| title_sort | high risk factors for hemorrhage in hysteroscopic curettage for cesarean scar pregnancy |
| topic | cesarean scar pregnancy hysteroscopy hemorrhage risk factors |
| url | https://www.imrpress.com/journal/CEOG/52/3/10.31083/CEOG26724 |
| work_keys_str_mv | AT qingyang highriskfactorsforhemorrhageinhysteroscopiccurettageforcesareanscarpregnancy AT xiaodiexiang highriskfactorsforhemorrhageinhysteroscopiccurettageforcesareanscarpregnancy AT congli highriskfactorsforhemorrhageinhysteroscopiccurettageforcesareanscarpregnancy |