KẾT QUẢ ĐIỀU TRỊ CHỬA SẸO MỔ LẤY THAI TẠI BỆNH VIỆN SẢN NHI NGHỆ AN TỪ NĂM 2018 ĐẾN 2020

Abstract

Objectives: To describe the result of methods for the treatment of pregnancies implanted into a lower uterine segment Cesarean section scar in Nghe An Maternity  - Pediatric Hospital from 2018 to 2020. Patients and Methods: This was a retrospective study including women diagnosed with Cesarean section scar pregnancy less than 12 weeks of pregnancy treatment in Nghe An Maternity - Pediatric Hospital from 1st of January, 2018 to 31th of December, 2020. Results: This study included 88 women who were diagnosed CPS : 19 women was performed simple suction (the success rate is 84.2%). 51 women Who had placed balloon then after 24h later was performed suction curettage (the success rate is 98%. There were 5 women Who was treatmented by Medical Therapy (the success rate is 100%). 12 Women were treatmented by surgical Therapy (the success rate is 83.3%). Treatment time less then 5 days belong to the group that was performed simple suction and was placed balloon then after later performed suction. Treatment time more than 5 days belong to the group that was treatmented by MTX combination therapy and surgical therapy. Conclusions: Used uterine balloon and suction after later was performed 6-7 weeks of pregnancy Method (59.8%), with success rate is 98%, reduce the amount of blood loss and cut the cost. MTX combination therapy (5.5%), with success rate is 100%, treatment time more than 5 days, the longest of treatment time is 2 months. Surgical Therapy accounted for 13.6%, with success rate is 83.3%, mostly patients with full term, age> 35, gestational age >8 weeks, increased angiogenesis.