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Evaluation of the Efficacy of Ultrasound-Guided Local Lauromacrogol Injection Combined with Aspiration for Cesarean Scar Pregnancy: A Novel Treatment.

Authors :
Chai, Ze-Ying
Yu, Li
Liu, Man-Man
Zhu, Tong-Wei
Qi, Feng
Source :
Gynecologic & Obstetric Investigation; May2018, Vol. 83 Issue 3, p306-312, 7p, 1 Black and White Photograph, 2 Charts, 1 Graph
Publication Year :
2018

Abstract

<bold>Objectives: </bold>To evaluate the efficacy of ultrasound-guided local lauromacrogol injection combined with aspiration for treating cesarean scar pregnancy (CSP).<bold>Methods: </bold>From July 2016 to December 2016, 18 patients diagnosed with CSP were treated with ultrasound-guided local lauromacrogol injection combined with aspiration. Clinical data and outcome were analysed.<bold>Results: </bold>All patients were treated successfully. The amount of bleeding ranged between 10 and 50 mL. The duration of hospitalization ranged between 2 and 11 days. Serum β-human chorionic gonadotropin (β-hCG) decreased to the nondetectable level within 19-41 days. Menstruation recovery occurred after 10-24 days of normalization of serum β-hCG level. Reproductive functions were preserved, and there were no untoward effects or complications.<bold>Conclusions: </bold>Ultrasound-guided local lauromacrogol injection combined with aspiration is an effective CSP therapy, as it was associated with a high success rate, short hospitalization and fast recovery. However, its wider application and popularization have to be validated on a larger patient population affected by CSP. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
03787346
Volume :
83
Issue :
3
Database :
Complementary Index
Journal :
Gynecologic & Obstetric Investigation
Publication Type :
Academic Journal
Accession number :
129466253
Full Text :
https://doi.org/10.1159/000485099