The imaging characteristics of cesarean scar pregnancy in 26 cases and their interventional therapy
Abstract：Objective To investigate the imaging characteristics of cesarean scar pregnancy (CSP) and the clinical effect of uterine artery chemoembolization ( UACE) on CSP.Methods We retrospectively analyzed the clini-cal data of 26 patients with CSP who were admitted to our hospital from January 2010 to October 2014 .The imaging characteristics of CSP and its clinical significance were analyzed .Uterine artery super selective intubation was carried out in all patients with a local perfusion of methotrexate (MTX) 50 mg and Gentamycin 80 000 units.After the injec-tion, the embolization of uterine artery was achieved with the gelatin sponge .Uterus curettage was performed in all patients within 24 to 72 hours after the embolization .Results The imaging characteristics of CSP can provide basis for postoperational individualized treatment .The successful rate of UACE was 100%.The bleeding volume in uterus curettage was between 50 and 150 ml.No serious complications were found .Conclusion UACE combine with uterus curettage can significantly reduce the risk of uterectomy and infertile .
Keywords：Caesarean scar pregnancy(CSP)Uterine artery chemoembolization(UACE)Uterus curet-tageMethotrexate
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 223-227 )