Archives of gynecology and obstetrics · 2014
Ultrasonography-guided multidrug stratification interventional therapy for cesarean scar pregnancy.
СтатьяНазвание и аннотация: Перевод в очереди
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Kong Dejiao, Dong Xiaoqiu, Qi Yunfeng
Аннотация
PURPOSE: To explore the clinical value of ultrasonography-guided multidrug stratification interventional therapy for cesarean scar pregnancy (CSP).
METHODS: Aspiration of gestational sac fluid, injection of methotrexate in the sac, injection of homeostatic agent and pituitrin in the uterine muscle layer, and injection of triple anti-inflammatory drugs around the uterus in 12 patients with CSP. The lesion volume, serum β-hCG level, and blood flow were observed.
RESULTS: The mean β-hCG level continued to decrease posttreatment, and the greatest reduction occurred in week 1. The mean number of days needed for serum β-hCG values to decrease to normal level was 39.1 ± 10.1 days. Mass volumes reduced and the mean number of days for the masses to disappear was 24.6 ± 14.1 days. The blood flow around the lesions continued to decrease.
CONCLUSIONS: Ultrasonography-guided multidrug interventional therapy for CSP is a new, safe, effective, minimally invasive method.
METHODS: Aspiration of gestational sac fluid, injection of methotrexate in the sac, injection of homeostatic agent and pituitrin in the uterine muscle layer, and injection of triple anti-inflammatory drugs around the uterus in 12 patients with CSP. The lesion volume, serum β-hCG level, and blood flow were observed.
RESULTS: The mean β-hCG level continued to decrease posttreatment, and the greatest reduction occurred in week 1. The mean number of days needed for serum β-hCG values to decrease to normal level was 39.1 ± 10.1 days. Mass volumes reduced and the mean number of days for the masses to disappear was 24.6 ± 14.1 days. The blood flow around the lesions continued to decrease.
CONCLUSIONS: Ultrasonography-guided multidrug interventional therapy for CSP is a new, safe, effective, minimally invasive method.