Cheng XL, Cao XY, Wang XQ, Lin HL, Fang JC, Wang L. Diagnosing early scar pregnancy in the lower uterine segment after cesarean section by intracavitary ultrasound. World J Clin Cases 2022; 10(2): 547-553 [PMID: 35097080 DOI: 10.12998/wjcc.v10.i2.547]
Corresponding Author of This Article
Lin Wang, BM BCh, Chief Doctor, Department of Ultrasonography, Women and Children Health Institute Futian Shenzhen, No. 1019 Jintian Road, Futian District, Shenzhen 518026, Guangdong Province, China. wlszftfy@163.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 14, 2022; 10(2): 547-553 Published online Jan 14, 2022. doi: 10.12998/wjcc.v10.i2.547
Diagnosing early scar pregnancy in the lower uterine segment after cesarean section by intracavitary ultrasound
Xiao-Ling Cheng, Xiao-Yan Cao, Xiao-Qian Wang, Heng-Li Lin, Jin-Chuan Fang, Lin Wang
Xiao-Ling Cheng, Xiao-Yan Cao, Xiao-Qian Wang, Heng-Li Lin, Jin-Chuan Fang, Lin Wang, Department of Ultrasonography, Women and Children Health Institute Futian Shenzhen, Shenzhen 518026, Guangdong Province, China
Author contributions: Cheng XL and Cao XY design the experiment; Wang XQ drafted the work, Lin HL and Fang JC collected the data; Wang L and Cheng XL analysed and interpreted data, Cao XY and Wang XQ wrote the manuscript; all authors read and proofed the revised manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of Women and Children Health Institute Futian Shenzhen.
Informed consent statement: Informed consents were obtained from all patients and their families.
Conflict-of-interest statement: The authors declared that there is no conflict of interest among them.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement - checklist of items, and the manuscript was prepared and revised according to the STROBE Statement- checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lin Wang, BM BCh, Chief Doctor, Department of Ultrasonography, Women and Children Health Institute Futian Shenzhen, No. 1019 Jintian Road, Futian District, Shenzhen 518026, Guangdong Province, China. wlszftfy@163.com
Received: August 26, 2021 Peer-review started: August 26, 2021 First decision: September 29, 2021 Revised: October 14, 2021 Accepted: November 28, 2021 Article in press: November 28, 2021 Published online: January 14, 2022 Processing time: 138 Days and 17 Hours
ARTICLE HIGHLIGHTS
Research background
Early scarring pregnancy (CSP) in the lower part of the uterus after cesarean section is an ectopic pregnancy. Intracavitary ultrasound may have a better diagnostic efficiency for CSP.
Research motivation
This study evaluated the value of intracavitary ultrasound in the diagnosis of CSP in the lower uterus after cesarean section.
Research objectives
In this manuscript, the authors aimed to study the value of intracavitary ultrasound in the diagnosis of CSP in the lower segment of the uterus after cesarean section, and to provide a better basis and method for the diagnosis of CSP.
Research methods
An observational study was conducted on patients diagnosed with CSP in our hospital from October 2019 to April 2021.
Research results
The diagnostic accuracy of intracavitary ultrasound for CSP is higher than that of transabdominal ultrasound. There was no difference between the missed diagnosis rate and the misdiagnosis rate between ultrasound types. For the diagnosis rate of CSP type, the diagnosis rate of pregnancy sac, heterogeneous mass and part of the uterine cavity by intracavitary ultrasound is higher than that of transabdominal ultrasound, and the difference is not statistically significant.
Research conclusions
Intracavitary ultrasound had a higher diagnostic accuracy and application value for diagnosing CSP than transabdominal ultrasound, with reduced risk of missed diagnoses and misdiagnosis, thereby preventing delayed treatment.
Research perspectives
Intracavitary ultrasound may have a better diagnostic efficiency for CSP and has a wider clinical application value.
