ArticleInternational journal of women's health2026
Reproductive Outcomes Following High-Intensity Focused Ultrasound Treatment for Cesarean Scar Pregnancy.
Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Cesarean scar pregnancy (CSP) is a rare but potentially life-threatening form of ectopic pregnancy associated with uterine rupture and severe hemorrhage. Optimizing fertility-preserving treatment strategies remains a critical clinical challenge. To investigate the reproductive outcomes and associated risk factors in patients with CSP after conservative surgery utilizing High-Intensity Focused Ultrasound (HIFU). Methods: In this retrospective cohort study (July 2017-June 2020), 337 CSP patients were stratified into HIFU group (n=210) or the non-HIFU group (n=127). Multivariate logistic regression identified predictors of re-pregnancy and recurrent cesarean scar pregnancy (RCSP). Results: The re-pregnancy rate was significantly higher in the HIFU group (61.9%, 130/210) than in the non-HIFU group (38.6%, 49/127) ( Conclusion: Conservative surgery incorporating HIFU significantly improves re-pregnancy rates and reduces RCSP risk in CSP patients. Younger age, longer intervals since the last cesarean section, and fewer cesarean sections or abortions correlate with higher re-pregnancy rates. Thicker scar tissue and fewer cesarean sections are protective against RCSP. These findings warrant validation in larger prospective studies.
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