ABSTRACT
Objective Compare the efficacy of transvaginal cesarean scar pregnancy debridement surgery(treatment group) and the uterine artery embolization company with the curettage(control group) in the treatment of cesarean scar pregnancy and ana-lyze the related factors of the failure of the surgery .Methods Postoperative vaginal bleeding ,incidence of postoperative scar preg-nancy again ,and time of hospital stays after surgery were compared in two groups .Relationships between gestational age ,cesarean section ,the value of serum HCG ,B-mass size ,live births and surgical success rate were discussed .Results The mean amount of blood bleeding during operation of the treatment group was(85 .38 ± 13 .27)mL ,the rate of continue pregnancy after surgery was 2 .56% ,mean time of hospital stays was(5 .13 ± 0 .77)d ,Significantly lower than the control group[(163 .11 ± 34 .87)mL ,11 .90% , (8 .12 ± 1 .88)d ,all P 0 .05) .Conclusion Tansvaginal cesarean scar pregnancy debridement surgery showed less damage on the treatment of cesarean scar pregnancy ,and re-duced the recurrence rate of the patient ,who had high blood HCG levels ,embryo survival and larger volume .
ABSTRACT
Short cervical length measured by transvaginal sonography is the one of the best predictor of preterm birth. A cervical length of less than 25 mm between 16 and 24 weeks is known as the reliable threshold for an increase risk of preterm birth in all populations including singleton and multiple gestations, women with or without risk factors for preterm birth, asymptomatic women, as well as those with preterm labor or preterm premature rupture of membranes. Furthermore, measurement of cervical length is a readily learned skill for obstetrical sonographers and transvaginal ultrasonography is acceptable to pregnant women and does not cause discomfort in the vast majority. However, the measurement of cervical length is not yet recommended as routine screening method, especially for those who are at low risk for preterm birth, because there are insufficient treatment methods to prevent preterm birth once short cervix is diagnosed. Recently, not a few researches on short cervix have been focused on the development of treatment strategy. In this article, we will review relevant studies and recent advances in the use of cervical length in the prediction of preterm birth and clinical application including the use of cervical cerclage.