• Medicine · Jan 2023

    Predictive factors analysis of cesarean scar pregnancy treated by local injection of Lauromacrogol combined with curettage.

    • Jianxia Huang, Pei He, Dingheng Li, and Jianwei Zhou.
    • Gynecology Department, The Second Affiliated Hospital, Medical College of Zhejiang University, Hangzhou, Zhejiang, China.
    • Medicine (Baltimore). 2023 Jan 27; 102 (4): e32783e32783.

    AbstractTo explore factors related to local injection of Lauromacrogol combined with curettage in the treatment of cesarean scar pregnancy. A total of 24 successful and 8 unsuccessful cases were included. The age, gravidity, parity, times of cesarean section, interval from the last cesarean section, preoperative human chorionic gonadotropin (HCG), HCG on the first day after operation, decreasing rate of HCG on the first day after operation, average diameter of gestational sac, and preoperative vaginal bleeding days were analyzed. There were no significant differences of age, gravidity, parity, previous cesarean section times between groups. The differences of preoperative HCG, HCG on the first day after operation, the decreasing rate of HCG, gestational sac diameter, preoperative vaginal bleeding days were statistically significant between groups. The interval from the last cesarean section and the decreasing rate of HCG were protective factors, while the mean diameter of gestational sac and period of vaginal bleeding before operation were risk factors for the success of the treatment. The mean diameter of gestational sac owned the best predictive value.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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