JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE)

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Methods and timing of removing cesarean scar pregnancy after uterine artery embolizatio

YU Li-ping, XUE Zhuo-wei, TENG Yin-cheng   

  1. Department of Obstetrics and Gynecology, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Received:2021-04-28 Published:2021-10-22
  • Contact: TENG Yin-cheng, E-mail: ycteng@sjtu.edu.cn.
  • Supported by:
    Scientific Research Project of Shanghai Health and Family Planning Commission (201640373).

Abstract: Cesarean scar pregnancy(CSP) is a special type of ectopic pregnancy that seriously threatens the life safety of women of childbearing age and leads to the loss of reproductive function. Uterine artery embolization(UAE) is an auxiliary method for the treatment of CSP, which can quickly block the blood supply to the lesion and reduce bleeding. Clinically, the combined scheme of UAE is often used to treat CSP, such as combined drug treatment(methotrexate, etc.), and surgical treatment(curettage, hysteroscopy, transabdominal, laparoscopic, transvaginal and other ways) to remove pregnancy. At present, for different types of CSP, how to choose the combination treatment scheme of UAE and the time to remove pregnancy while taking into account the cure rate and safety is a problem faced by clinicians. And there are no clear guidelines and unified standards for the treatment of CSP at home and abroad. This paper reviews the literature at home and abroad in recent years, and summarizes the effect of UAE combined with different treatment methods and the timing of removing pregnancy, in order to provide reference for follow-up research.

Key words: cesarean scar pregnancy(CSP), uterine artery embolization(UAE), removal, method and timing

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