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The value of transvaginal ultrasound in clinical surgical treatment of cesarean scar pregnancy

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Summary

The clinical value of transvaginal ultrasound in clinical surgical treatment of cesarean scar pregnancy (CSP) was evaluated. The clinical data of 104 patients with CSP admitted at Tongji Hospital from 2013 to 2016 were collected and analyzed retrospectively, including the patients’ age, gestational age, the size of gestational sac or uneven mass, the uterine scar thickness, β human chorionic gonadotropin (hCG) levels and so on. Of these 104 cases, 30 cases were subjected to laparotomy, 29 cases to laparoscopy, 27 cases to hysteroscopy, 16 cases to ultrasound-guided uterine curettage, and 2 cases to conservative treatment. The transvaginal ultrasound showed that uterine scar thickness and gestational sac or uneven mass size had significant difference (P<0.05) among different surgical methods by comparatively analyzing the patients’ data. It was suggested that transvaginal ultrasound may provide the valuable reference for choosing clinical surgical procedures for CSP.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

    Zhen Zeng  (曾 祯), Shu-ping Ding  (丁淑萍), Xue Zeng  (曾 雪), Sui Cao  (曹 穗), Ling-yu Wei  (魏伶羽), Yan-yan Liu  (刘燕燕), Fu-yan Yang  (杨福艳), Jing-ji Gong  (龚静吉), Han-ping Chen  (陈汉平) & Xiao-yan Xu  (徐晓燕)

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  1. Zhen Zeng  (曾 祯)
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  2. Shu-ping Ding  (丁淑萍)
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  3. Xue Zeng  (曾 雪)
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  4. Sui Cao  (曹 穗)
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  5. Ling-yu Wei  (魏伶羽)
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  6. Yan-yan Liu  (刘燕燕)
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  7. Fu-yan Yang  (杨福艳)
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  8. Jing-ji Gong  (龚静吉)
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  9. Han-ping Chen  (陈汉平)
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  10. Xiao-yan Xu  (徐晓燕)
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Corresponding author

Correspondence to Xiao-yan Xu  (徐晓燕).

Additional information

This project was supported by Central University Independent Innovation Fund of China (No. 2015ZHYX009).

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Zeng, Z., Ding, Sp., Zeng, X. et al. The value of transvaginal ultrasound in clinical surgical treatment of cesarean scar pregnancy. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 37, 536–540 (2017). https://doi.org/10.1007/s11596-017-1769-x

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  • DOI: https://doi.org/10.1007/s11596-017-1769-x

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