Clinical Efficacy and Safety of Uterine Artery Embolization (UAE) versus Laparoscopic Cesarean Scar Pregnancy Debridement Surgery (LCSPDS) in Treatment of Cesarean Scar Pregnancy

doi:10.12659/MSM.907404

科研成果详情

题名	Clinical Efficacy and Safety of Uterine Artery Embolization (UAE) versus Laparoscopic Cesarean Scar Pregnancy Debridement Surgery (LCSPDS) in Treatment of Cesarean Scar Pregnancy
作者	Guo, Junhong 1; Yu, Jiangtao2; Zhang, Qing 1; Song, Xiaojie 1
发表日期	2018-07-06
发表期刊	MEDICAL SCIENCE MONITOR 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Cesarean Section Pregnancy Complications, Cardiovascular Uterine Artery Embolization
其他关键词	OF-THE-LITERATURE ; ECTOPIC PREGNANCY ; CONSERVATIVE TREATMENT ; GELATIN SPONGE ; SECTION SCAR ; METHOTREXATE ; MANAGEMENT ; CURETTAGE ; ULTRASOUND ; PARTICLES
摘要	Background: The present study aimed to compare the clinical efficacy and safety of uterine artery embolization (UAE) vs. laparoscopic cesarean scar pregnancy debridement surgery (LCSPDS) in the treatment of patients with cesarean scar pregnancy (CSP). Material/Methods: A retrospective analysis was performed on 87 CSP patients from March 2012 to February 2017. For the includ- ed 87 cases, 51 were treated with UAE and 36 were treated with LCSPDS. The operation success rate, intraoperative blood loss, operation time, length of hospital stay, perioperative complications, and beta-HCG level were compared. Results: For the UAE group, 41 patients underwent successful surgeries (80.4% success rate), and 36 cases in the LCSPDS group were successfully treated, with no case of perioperative death. In the UAE group, the operation time, intraoperative blood loss, and length of hospital stay were 82.23 +/- 45.21 min, 112.58 +/- 68.54 mL, and 12.56 +/- 3.03 days, respectively. In the LCSPDS group, the operation time, intraoperative blood loss, and length of hospital stay were 85.45 +/- 30.02 min, 108.56 +/- 54.12 mL and 7.65 +/- 2.48 days, respectively. The length of hospital stay for the UAE group was significantly longer than in the LCSPDS group (P<0.05). Conclusions: UAE and LCSPDS each have their own advantages and disadvantages in treating CSP. Thus, appropriate individualized surgical programs based on specific patient circumstances are needed to avoid indiscriminately performing complete uterine cavity curettage.
出版者	INT SCIENTIFIC LITERATURE, INC
出版地	SMITHTOWN
ISSN	1643-3750
EISSN	1643-3750
卷号	24 页码:4659-4666
DOI	10.12659/MSM.907404
页数	8
WOS类目	Medicine, Research & Experimental
WOS研究方向	Research & Experimental Medicine
WOS记录号	WOS:000437912700002
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	29978852
PMC记录号	PMC6069508
SCOPUSEID	2-s2.0-85050071763
通讯作者地址	[Song, Xiaojie]Department of Obstetrics and Gynecology,Wuhan Children’s Hospital (Wuhan Maternal Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China
Scopus学科分类	Medicine (all)
引用统计	被引频次：10[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/18067
专题	附属第一医院
通讯作者	Song, Xiaojie
作者单位	1.Department of Obstetrics and Gynecology,Wuhan Children’s Hospital (Wuhan Maternal Child Healthcare Hospital),Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China; 2.Department of Obstetrics and Gynecology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China
推荐引用方式 GB/T 7714	Guo, Junhong,Yu, Jiangtao,Zhang, Qing,et al. Clinical Efficacy and Safety of Uterine Artery Embolization (UAE) versus Laparoscopic Cesarean Scar Pregnancy Debridement Surgery (LCSPDS) in Treatment of Cesarean Scar Pregnancy[J]. MEDICAL SCIENCE MONITOR,2018,24:4659-4666.
APA	Guo, Junhong, Yu, Jiangtao, Zhang, Qing, & Song, Xiaojie. (2018). Clinical Efficacy and Safety of Uterine Artery Embolization (UAE) versus Laparoscopic Cesarean Scar Pregnancy Debridement Surgery (LCSPDS) in Treatment of Cesarean Scar Pregnancy. MEDICAL SCIENCE MONITOR, 24, 4659-4666.
MLA	Guo, Junhong,et al."Clinical Efficacy and Safety of Uterine Artery Embolization (UAE) versus Laparoscopic Cesarean Scar Pregnancy Debridement Surgery (LCSPDS) in Treatment of Cesarean Scar Pregnancy".MEDICAL SCIENCE MONITOR 24(2018):4659-4666.