Objective: This study aims to investigate the etiological and bleeding risk
factors of cesarean scar pregnancy (CSP) and attempts to determine the clinical
value of uterine artery embolization (UAE) combined with curettage,
methotrexate (MTX) chemotherapy combined with curettage, and uterine curettage
alone in terminating CSP. Materials and methods: A total of 154 patients with CSP and 155 patients with
cicatricial uterus termination of pregnancy in the same period who were
hospitalized in the Department of Obstetrics and Gynecology, Second Affiliated
Hospital of Nanchang University from January 2013 to March 2020 were enrolled in
this study. The clinical characteristics of the two groups were statistically
analyzed, and CSP patients were divided into the UAE + uterine curettage group (n
= 49), MTX + uterine curettage group (n = 33) and uterine curettage alone group
(n = 72) according to different treatment methods. The scar thickness,
intraoperative blood loss, time to resumption of menstruation and other
indicators were compared and analyzed among the three groups. Results: The proportion of CSP patients with cesarean section time
Announcements
Open Access
Original Research
Study on influencing factors and related clinical issues in cesarean scar pregnancy
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Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Nanchang University, 330006 Nanchang, Jiangxi, China
*Correspondence: hexiaoju21@163.com (Xiao-Ju He)
Clin. Exp. Obstet. Gynecol. 2021, 48(2), 365–371;
https://doi.org/10.31083/j.ceog.2021.02.2291
Submitted: 12 September 2020 | Revised: 21 October 2020 | Accepted: 4 November 2020 | Published: 15 April 2021
Copyright: © 2021 The Authors. Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract
Keywords
Cesarean scar pregnancy (CSP)
Uterine artery embolization (UAE)
Methotrexate (MTX)
Uterine curettage
Funding
20185244/Science and Technology Plan Fund of Jiangxi Provincial Health and Family Planning Commission
S2019ZRMSB1793/Construction project of 2018 Postgraduate Teaching Case Base of Nanchang University, the Jiangxi Province Natural Science Foundation of China
81760277/Chinese National Natural Science Foundation