Association of menstrual blood volume and reproductive outcomes in patients with caesarean scar pregnancy managed using uterine artery embolization and curettage.

IF 2.1 4区医学 Q2 OBSTETRICS & GYNECOLOGY

Human Fertility Pub Date : 2023-12-01 Epub Date: 2023-05-08 DOI:10.1080/14647273.2023.2207746

Guangshao Cao, Ruiqing Liu, Jianwen Liu, Jian Liu, Yuyan Liu, Lupeng Li, Xiaoyang Zhao, Hui Li, Huicun Cao

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Abstract

This study aimed to assess the association of menstrual blood volumes (MBV) and reproductive outcomes in patients after uterine artery embolization (UAE) combined with curettage for caesarean scar pregnancy (CSP). This retrospective observational study enrolled women who underwent UAE plus curettage for CSP at the Interventional Department of Henan Provincial People's Hospital between December 2012 and December 2017. The primary outcome was pregnancy rate and the secondary outcomes were live birth rate (LBR) and interpregnancy interval. This study finally included 37 women (16 women with normal MBV and 21 women with decreased MBV) with pregnancy intention after UAE plus curettage for CSP. The pregnancy rate in women with normal MBV was higher than those with decreased MBV (81.3% vs. 47.6%; P = 0.048). There were no differences between the two groups regarding the interpregnancy interval (18.4 ± 8.7 vs. 22.2 ± 10.0 months, P = 0.233), and LBR (63% vs. 38%, P = 0.191). In conclusion, Women with normal MBV after UAE combined with curettage for CSP management might have a higher pregnancy rate compared with patients with decreased MBV, but there were no differences in LBR between the two groups.

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采用子宫动脉栓塞和刮宫术治疗的剖腹产瘢痕妊娠患者月经血量与生殖结局的关系。

本研究旨在评估子宫动脉栓塞术（UAE）联合刮宫术治疗剖宫产瘢痕妊娠（CSP）患者的月经血量（MBV）与生殖结局的相关性。这项回顾性观察研究纳入了2012年12月至2017年12月期间在河南省人民医院介入科接受UAE加刮宫术治疗CSP的妇女。主要结果为妊娠率，次要结果为活产率（LBR）和孕间期。该研究最终纳入了37名经UAE加刮宫术治疗CSP后有妊娠意向的女性（16名MBV正常女性和21名MBV下降女性）。MBV 正常女性的妊娠率高于 MBV 下降女性（81.3% 对 47.6%；P = 0.048）。两组间的孕间隔（18.4 ± 8.7 个月 vs. 22.2 ± 10.0 个月，P = 0.233）和 LBR（63% vs. 38%，P = 0.191）没有差异。总之，与 MBV 下降的患者相比，UAE 联合刮宫治疗 CSP 后 MBV 正常的女性怀孕率可能更高，但两组患者的 LBR 没有差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Human Fertility OBSTETRICS & GYNECOLOGY-REPRODUCTIVE BIOLOGY

CiteScore

3.30

自引率

5.30%

发文量

期刊介绍： Human Fertility is a leading international, multidisciplinary journal dedicated to furthering research and promoting good practice in the areas of human fertility and infertility. Topics included span the range from molecular medicine to healthcare delivery, and contributions are welcomed from professionals and academics from the spectrum of disciplines concerned with human fertility. It is published on behalf of the British Fertility Society. The journal also provides a forum for the publication of peer-reviewed articles arising out of the activities of the Association of Biomedical Andrologists, the Association of Clinical Embryologists, the Association of Irish Clinical Embryologists, the British Andrology Society, the British Infertility Counselling Association, the Irish Fertility Society and the Royal College of Nursing Fertility Nurses Group. All submissions are welcome. Articles considered include original papers, reviews, policy statements, commentaries, debates, correspondence, and reports of sessions at meetings. The journal also publishes refereed abstracts from the meetings of the constituent organizations.