Dejiao Kong1, Xiaoqiu Dong, Yunfeng Qi. 1. Department of Ultrasonography, The Fourth Hospital of Harbin Medical University, Yiyuan Str 37, Harbin, 150001, Heilongjiang, People's Republic of China.
Abstract
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.
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.
Authors: Ioannis Tsakiridis; Ioannis Chatzikalogiannis; Apostolos Mamopoulos; Themistoklis Dagklis; Georgios Tsakmakidis; Apostolos Athanasiadis; Ioannis Kalogiannidis Journal: Int J Surg Case Rep Date: 2019-11-06