Peng Mei, Li Li, Ding Yiling, Yu Ling, Deng YaLi, Zheng Jingjie, Wang Liqiong, Wu Xianqing, Zhang Hongwen
Department of Gynaecology and Obstetrics, the Second Xiangya Hospital of Central South University, Changsha, China.
Gynecol Obstet Invest. 2015;79(2):139-44. doi: 10.1159/000368400. Epub 2015 Jan 27.
Without timely discovery and treatment, early live cesarean scar pregnancy (CSP) can cause hemorrhage, uterine rupture or excision, and in extreme cases, loss of fertility or death. This study explored the significance of early diagnosis and treatment algorithms for early live CSP. Twenty-three patients with early live CSP who were hospitalized at the Second Xiangya Hospital of Central South University from June 2012 to July 2013 were retrospectively analyzed. The patients were selected according to the number of days since the last menstrual period, the color Doppler ultrasound results, the β-HCG values, and the thickness of the lower uterine myometrium. Ultrasound-guided evacuation and Foley balloon compression hemostasis were conducted directly in the lower uterine segment to stop the bleeding. All 23 patients were cured, and their uteri and fertility were conserved. Timely and proper treatment algorithms can yield satisfactory outcomes in the treatment of CSP.
