THE SUCCESSFUL TREATMENT OF ≤8 WEEKS WITH CESAREAN SECTION SCARS BY ASPIRATION UNDER ULTRASOUND AT HUNG VUONG HOSPITAL

Thị Yến Phạm 1, Thị Diễm Tuyết Hoàng2,, Thị Lựu Nguyễn1, Thị Thu Huyền Hoàng1, Thị Hải Yến Nguyễn1
1 Hung Vuong hospital
2 Hung Vuong hopsital

Main Article Content

Abstract

Objectives: Determine the success rate of the method of abortion under ultrasound for fetuses less than or equal to 8 weeks of cesarean section scarring. Methods: Descriptive study of a series of 100 cases with confirmed diagnosis of 8 weeks' gestation with cesarean delivery and initial treatment by ultrasound suction method at the hospital. Oncology Assistant at Hung Vuong Hospital from June 1, 2020 to June 1, 2021. Results: The mean age of these subjects was 36.2 ± 4.9 years old. The most common symptom was vaginal bleeding with or without abdominal pain, accounting for 23%. The mean gestational age was 5.9±0.9 weeks. The majority of fetuses with SMLT were without fetal heart rate, accounting for 79%. The average size of the fetal mass before surgical intervention was 21.3±9.6 mm. The average thickness of the mechanism at SMLT is 3.3 ± 1.0 mm. COS2- makes up the majority with 75%, COS2- makes up the minority with 25%. The mean β-hCG concentration before intervention with 48331.2 ± 37350 mUI/ml. The success rate of the treatment of ≤8 weeks of implantation by the sub-SA suction method is 92%, and the failure rate is 8%. Conclusion: Aspiration below SA in the treatment of fetuses ≤8 weeks of implantation, with uterine muscle thickness greater than 2mm can be considered as a safe and effective treatment method.

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References

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