KẾT QUẢ XỬ TRÍ THAI LÀM TỔ TẠI VỊ TRÍ SẸO MỔ Ở BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

A retrospective cross-sectional study of 293 patients with caesarean scar pregnancy were treated at Gynecology Department, National Hospital of Obstetrics and Gynecology from January 2022 to December 2022 with the aims of describing clinical and paraclinical symptoms and evaluating the treatment results in this group of patients. The results: 76.45% of patients with gestational age 6 - 7 weeks, the smallest gestational age was 4 weeks and the largest was 12 weeks and the average gestational age was 6.29 weeks. 181 patients had a muscle layer thickness at the gestational sac location < 3mm, 67 patients had angiogenesis image in ultrasound, often after 7 weeks of gestation. Treatment results: 263 patients had  aspiraton, with a rate of 89.76%, of which 39 patients (13.31%) had hemostatic balloon insertion. 5.46% were embryo destruction under ultrasound followed by aspiration. There were 14 cases of surgical removal of the fetus. There were 223 patients (76.11%) treated for less than 5 days, 70 patients (23.89%) treated for ≥ 5 days. No patient required hysterectomy and 3 patients (1.02%) required blood transfusion.