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Intrauterine ectopic pregnancy — ultrasound typing and treatment
, 1, 3
Affiliations- Affiliated Ethnic Hospital of Guangxi Medical University, Departments of Ultrasound Diagnosis, China
- Affiliated Ethnic Hospital of Guangxi Medical University, Department of Obstetrics and Gynecology, China
- Affiliated Ethnic Hospital of Guangxi Medical University, Department of Radiology, China
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Abstract
Objectives: To analyze the correlation between ultrasound typing and treatment modality of patients with an intrauterine
ectopic pregnancy (cervical and cesarean scar).
Material and methods: We retrospectively enrolled 65 patients diagnosed with cesarean scar pregnancy (CSP) or cervical
pregnancy (CP) between February 2014 and May 2018. The cases were divided into two types according to the ultrasound
presentation with a gestational sac (GS, type I) or a heterogeneous mass (HM, type II). Type I was further divided into type
Ia (< 8 weeks) and type Ib (≥ 8 weeks); type II was defined as type IIa (with poor or no vascularity) and type IIb (with rich
vascularity). Three treatment methods were applied in each group.
Results: Of included cases, there were 53 CSP and 12 CP. There was no significant difference between Type I and Type
II groups in any variable. The beta human chorionic gonadotropin (β-hCG) level and gestational age of type IIb were
significantly higher compared to type IIa (p < 0.05). There was a positive correlation between ultrasound categories and
treatment methods (rs = 0.723, p = 0.000). Analysis of CSP cases of initial treatment failure indicated success rate of initial
dilation and curettage (D&C) was dependent upon ultrasonic types, mean sac diameter, gestational age, hCG level, and
number of cesarean sections.
Conclusions: The features of ultrasound imaging might provide an additional reference for the selection of clinical treatment
methods.
Abstract
Objectives: To analyze the correlation between ultrasound typing and treatment modality of patients with an intrauterine
ectopic pregnancy (cervical and cesarean scar).
Material and methods: We retrospectively enrolled 65 patients diagnosed with cesarean scar pregnancy (CSP) or cervical
pregnancy (CP) between February 2014 and May 2018. The cases were divided into two types according to the ultrasound
presentation with a gestational sac (GS, type I) or a heterogeneous mass (HM, type II). Type I was further divided into type
Ia (< 8 weeks) and type Ib (≥ 8 weeks); type II was defined as type IIa (with poor or no vascularity) and type IIb (with rich
vascularity). Three treatment methods were applied in each group.
Results: Of included cases, there were 53 CSP and 12 CP. There was no significant difference between Type I and Type
II groups in any variable. The beta human chorionic gonadotropin (β-hCG) level and gestational age of type IIb were
significantly higher compared to type IIa (p < 0.05). There was a positive correlation between ultrasound categories and
treatment methods (rs = 0.723, p = 0.000). Analysis of CSP cases of initial treatment failure indicated success rate of initial
dilation and curettage (D&C) was dependent upon ultrasonic types, mean sac diameter, gestational age, hCG level, and
number of cesarean sections.
Conclusions: The features of ultrasound imaging might provide an additional reference for the selection of clinical treatment
methods.
Keywords
cesarean scar pregnancy; cervical pregnancy; ultrasonography typing; treatment
About this articleTitle
Intrauterine ectopic pregnancy — ultrasound typing and treatment
Journal
Issue
Article type
Research paper
Pages
111-116
Published online
2020-03-31
Page views
1538
Article views/downloads
1538
DOI
Pubmed
Bibliographic record
Ginekol Pol 2020;91(3):111-116.
Keywords
cesarean scar pregnancy
cervical pregnancy
ultrasonography typing
treatment
Authors
Fangyan Jiang
Wenzheng Nong
Haiqing Su
Shuangcheng Yu
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