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Gynecol Obstet Invest ; 83(3): 306-312, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29208846

RESUMEN

OBJECTIVES: To evaluate the efficacy of ultrasound-guided local lauromacrogol injection combined with aspiration for treating cesarean scar pregnancy (CSP). METHODS: From July 2016 to December 2016, 18 patients diagnosed with CSP were treated with ultrasound-guided local lauromacrogol injection combined with aspiration. Clinical data and outcome were analysed. RESULTS: All patients were treated successfully. The amount of bleeding ranged between 10 and 50 mL. The duration of hospitalization ranged between 2 and 11 days. Serum ß-human chorionic gonadotropin (ß-hCG) decreased to the nondetectable level within 19-41 days. Menstruation recovery occurred after 10-24 days of normalization of serum ß-hCG level. Reproductive functions were preserved, and there were no untoward effects or complications. CONCLUSIONS: Ultrasound-guided local lauromacrogol injection combined with aspiration is an effective CSP therapy, as it was associated with a high success rate, short hospitalization and fast recovery. However, its wider application and popularization have to be validated on a larger patient population affected by CSP.


Asunto(s)
Cicatriz , Detergentes/administración & dosificación , Paracentesis/métodos , Polietilenglicoles/administración & dosificación , Embarazo Ectópico/terapia , Ultrasonografía Intervencional/métodos , Adulto , Cesárea/efectos adversos , Gonadotropina Coriónica Humana de Subunidad beta/sangre , Cicatriz/etiología , Femenino , Humanos , Polidocanol , Embarazo , Embarazo Ectópico/sangre , Embarazo Ectópico/etiología , Estudios Retrospectivos , Resultado del Tratamiento
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