Menstruation recovery in scar pregnancy patients undergoing UAE and curettage and its influencing factors

This study aims to investigate the menstrual recovery outcome of scar pregnancy patients who received uterine artery embolization combined with curettage, and its influencing factors.The data of 119 patients with scar pregnancy, who received uterine artery embolization combined with curettage betwee...

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Veröffentlicht in:Medicine (Baltimore) 2018-03, Vol.97 (11), p.e9584-e9584
Hauptverfasser: Cao, Guang-Shao, Liu, Rui-Qing, Liu, Yu-Yan, Liu, Jian-Wen, Li, Lu-Peng, Zhang, Qiang, Cao, Hui-Cun, Li, Tian-Xiao
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container_issue 11
container_start_page e9584
container_title Medicine (Baltimore)
container_volume 97
creator Cao, Guang-Shao
Liu, Rui-Qing
Liu, Yu-Yan
Liu, Jian-Wen
Li, Lu-Peng
Zhang, Qiang
Cao, Hui-Cun
Li, Tian-Xiao
description This study aims to investigate the menstrual recovery outcome of scar pregnancy patients who received uterine artery embolization combined with curettage, and its influencing factors.The data of 119 patients with scar pregnancy, who received uterine artery embolization combined with curettage between December 2012 and December 2016 in Henan Provincival People's Hospital, were collected. The menstruation recovery of these patients was followed up, and factors that have influence on menstrual blood volume were analyzed using SPSS V.17.0.Follow-up data were available in 101/119 (84.9%) women. The median follow-up time was 22.7 months (range: 1.6-50.6 months); 58 (57.4%) patients had reduced menstrual blood volume, and 2 patients (2%) had amenorrhea. The proportion of patients with reduced menstrual blood volume, who were embolized with polyvinyl alcohol (PVA), PVA combined with gelatin sponge, and gelatin sponge between < and ≥33 years old was 41.7% versus 66.7%, 40% versus 57.1% and 60.6% versus 68.0%. The average age of patients with reduced menstrual blood volume (34.3 years) was greater than patients with normal menstrual blood volume (31.4 years), but the difference was not statistically significant (P = .07).Reduced menstrual blood volume can occur in scar pregnancy patients who received uterine artery embolization combined with curettage. The influence of the embolic agent PVA on menstrual blood volume depends on age, but the difference was not statistically significant.
doi_str_mv 10.1097/MD.0000000000009584
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The menstruation recovery of these patients was followed up, and factors that have influence on menstrual blood volume were analyzed using SPSS V.17.0.Follow-up data were available in 101/119 (84.9%) women. The median follow-up time was 22.7 months (range: 1.6-50.6 months); 58 (57.4%) patients had reduced menstrual blood volume, and 2 patients (2%) had amenorrhea. The proportion of patients with reduced menstrual blood volume, who were embolized with polyvinyl alcohol (PVA), PVA combined with gelatin sponge, and gelatin sponge between &lt; and ≥33 years old was 41.7% versus 66.7%, 40% versus 57.1% and 60.6% versus 68.0%. The average age of patients with reduced menstrual blood volume (34.3 years) was greater than patients with normal menstrual blood volume (31.4 years), but the difference was not statistically significant (P = .07).Reduced menstrual blood volume can occur in scar pregnancy patients who received uterine artery embolization combined with curettage. The influence of the embolic agent PVA on menstrual blood volume depends on age, but the difference was not statistically significant.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000009584</identifier><identifier>PMID: 29538216</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Abortion, Legal - adverse effects ; Abortion, Legal - methods ; Adult ; Blood Loss, Surgical - prevention &amp; control ; Cesarean Section - adverse effects ; Cicatrix - etiology ; Cicatrix - pathology ; Cicatrix - physiopathology ; Curettage - adverse effects ; Curettage - methods ; Female ; Humans ; Long Term Adverse Effects - diagnosis ; Menstruation Disturbances - diagnosis ; Menstruation Disturbances - etiology ; Observational Study ; Postoperative Complications - diagnosis ; Postoperative Complications - physiopathology ; Pregnancy ; Pregnancy, Ectopic - diagnosis ; Pregnancy, Ectopic - surgery ; Recovery of Function ; Uterine Artery Embolization - methods ; Uterine Rupture - etiology ; Uterine Rupture - prevention &amp; control</subject><ispartof>Medicine (Baltimore), 2018-03, Vol.97 (11), p.e9584-e9584</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4502-9cdc71aa201734a3d202b60214ebd33f1e330451ef729239552cfecc1546c1253</citedby><cites>FETCH-LOGICAL-c4502-9cdc71aa201734a3d202b60214ebd33f1e330451ef729239552cfecc1546c1253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882401/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882401/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29538216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cao, Guang-Shao</creatorcontrib><creatorcontrib>Liu, Rui-Qing</creatorcontrib><creatorcontrib>Liu, Yu-Yan</creatorcontrib><creatorcontrib>Liu, Jian-Wen</creatorcontrib><creatorcontrib>Li, Lu-Peng</creatorcontrib><creatorcontrib>Zhang, Qiang</creatorcontrib><creatorcontrib>Cao, Hui-Cun</creatorcontrib><creatorcontrib>Li, Tian-Xiao</creatorcontrib><title>Menstruation recovery in scar pregnancy patients undergoing UAE and curettage and its influencing factors</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>This study aims to investigate the menstrual recovery outcome of scar pregnancy patients who received uterine artery embolization combined with curettage, and its influencing factors.The data of 119 patients with scar pregnancy, who received uterine artery embolization combined with curettage between December 2012 and December 2016 in Henan Provincival People's Hospital, were collected. The menstruation recovery of these patients was followed up, and factors that have influence on menstrual blood volume were analyzed using SPSS V.17.0.Follow-up data were available in 101/119 (84.9%) women. The median follow-up time was 22.7 months (range: 1.6-50.6 months); 58 (57.4%) patients had reduced menstrual blood volume, and 2 patients (2%) had amenorrhea. The proportion of patients with reduced menstrual blood volume, who were embolized with polyvinyl alcohol (PVA), PVA combined with gelatin sponge, and gelatin sponge between &lt; and ≥33 years old was 41.7% versus 66.7%, 40% versus 57.1% and 60.6% versus 68.0%. The average age of patients with reduced menstrual blood volume (34.3 years) was greater than patients with normal menstrual blood volume (31.4 years), but the difference was not statistically significant (P = .07).Reduced menstrual blood volume can occur in scar pregnancy patients who received uterine artery embolization combined with curettage. The influence of the embolic agent PVA on menstrual blood volume depends on age, but the difference was not statistically significant.</description><subject>Abortion, Legal - adverse effects</subject><subject>Abortion, Legal - methods</subject><subject>Adult</subject><subject>Blood Loss, Surgical - prevention &amp; control</subject><subject>Cesarean Section - adverse effects</subject><subject>Cicatrix - etiology</subject><subject>Cicatrix - pathology</subject><subject>Cicatrix - physiopathology</subject><subject>Curettage - adverse effects</subject><subject>Curettage - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Long Term Adverse Effects - diagnosis</subject><subject>Menstruation Disturbances - diagnosis</subject><subject>Menstruation Disturbances - etiology</subject><subject>Observational Study</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - physiopathology</subject><subject>Pregnancy</subject><subject>Pregnancy, Ectopic - diagnosis</subject><subject>Pregnancy, Ectopic - surgery</subject><subject>Recovery of Function</subject><subject>Uterine Artery Embolization - methods</subject><subject>Uterine Rupture - etiology</subject><subject>Uterine Rupture - prevention &amp; control</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtP3DAUhS1EVabT_gIk5CWbUD-TeIOEgD4kRt2UteVxbjKGjD3YDmj-PYYBBHhzZd_vnnvkg9AhJSeUqObn4uKEvDtKtmIPzajkdSVVLfbRjBAmq0Y14gB9S-mGEMobJr6iA6YkbxmtZ8gtwKccJ5Nd8DiCDfcQt9h5nKyJeBNh8MbbLd4UAnxOePIdxCE4P-Drs0tsfIftFCFnM8DzzRXI-X6cwNsnqjc2h5i-oy-9GRP8eKlzdP3r8v_5n-rq3--_52dXlRWSsErZzjbUGEZow4XhHSNsWRNGBSw7znsKnBMhKfQNU4wrKZntwVoqRW0pk3yOTne6m2m5hs4W09GMehPd2sStDsbpjx3vVnoI91q2LRPli-bo-EUghrsJUtZrlyyMo_EQpqSLM0GFELIuKN-hNoaUIvRvayjRTyHpxYX-HFKZOnrv8G3mNZUCiB3wEMYMMd2O0wNEvQIz5tWznmwUq4qRlnBak6q8MMYfAbkrnjs</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Cao, Guang-Shao</creator><creator>Liu, Rui-Qing</creator><creator>Liu, Yu-Yan</creator><creator>Liu, Jian-Wen</creator><creator>Li, Lu-Peng</creator><creator>Zhang, Qiang</creator><creator>Cao, Hui-Cun</creator><creator>Li, Tian-Xiao</creator><general>The Authors. 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The menstruation recovery of these patients was followed up, and factors that have influence on menstrual blood volume were analyzed using SPSS V.17.0.Follow-up data were available in 101/119 (84.9%) women. The median follow-up time was 22.7 months (range: 1.6-50.6 months); 58 (57.4%) patients had reduced menstrual blood volume, and 2 patients (2%) had amenorrhea. The proportion of patients with reduced menstrual blood volume, who were embolized with polyvinyl alcohol (PVA), PVA combined with gelatin sponge, and gelatin sponge between &lt; and ≥33 years old was 41.7% versus 66.7%, 40% versus 57.1% and 60.6% versus 68.0%. The average age of patients with reduced menstrual blood volume (34.3 years) was greater than patients with normal menstrual blood volume (31.4 years), but the difference was not statistically significant (P = .07).Reduced menstrual blood volume can occur in scar pregnancy patients who received uterine artery embolization combined with curettage. The influence of the embolic agent PVA on menstrual blood volume depends on age, but the difference was not statistically significant.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>29538216</pmid><doi>10.1097/MD.0000000000009584</doi><oa>free_for_read</oa></addata></record>
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subjects Abortion, Legal - adverse effects
Abortion, Legal - methods
Adult
Blood Loss, Surgical - prevention & control
Cesarean Section - adverse effects
Cicatrix - etiology
Cicatrix - pathology
Cicatrix - physiopathology
Curettage - adverse effects
Curettage - methods
Female
Humans
Long Term Adverse Effects - diagnosis
Menstruation Disturbances - diagnosis
Menstruation Disturbances - etiology
Observational Study
Postoperative Complications - diagnosis
Postoperative Complications - physiopathology
Pregnancy
Pregnancy, Ectopic - diagnosis
Pregnancy, Ectopic - surgery
Recovery of Function
Uterine Artery Embolization - methods
Uterine Rupture - etiology
Uterine Rupture - prevention & control
title Menstruation recovery in scar pregnancy patients undergoing UAE and curettage and its influencing factors
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