{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T17:14:26Z","timestamp":1767374066026},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,8,23]],"date-time":"2018-08-23T00:00:00Z","timestamp":1534982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004731","name":"Natural Science Foundation of Zhejiang Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004731","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2018,11]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To evaluate the efficacy and long\u2010term prognosis of uterine artery chemoembolization (UACE<\/jats:styled-content>) combined with curettage for treatment of cesarean scar pregnancy (CSP<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>Data were retrospectively reviewed from women with CSP<\/jats:styled-content>s treated by UACE<\/jats:styled-content> with curettage at Women's Hospital of Zhejiang University, Hangzhou, a tertiary obstetrics and gynecologic center in China, between December 2006 and December 2016. Information on clinical characteristics and treatment outcomes was obtained from medical records and follow\u2010up interviews.<\/jats:p><\/jats:sec>Results<\/jats:title>There were 383 patients included; 379 (99.0%) women were successfully treated. Risk factors associated with intraoperative bleeding were size of gestational mass (P<\/jats:italic>=0.001), presence of fetal heart beat (P<\/jats:italic>=0.002), and type of CSP<\/jats:styled-content> (P<\/jats:italic>=0.002). Among 301 women with complete medical records over a mean\u00a0\u00b1\u00a0SD<\/jats:styled-content> follow\u2010up of 49.8\u00a0\u00b1\u00a030.2\u00a0months, 164 (54.5%) women resumed normal menstruation and only 22 (7.3%) experienced a reduction in menstrual volume of more than one\u2010half. Among 89 women attempting to conceive, the conception rate was 69% (61\/89), the positive pregnancy rate was 80% (49\/61), and 35 live neonates were delivered.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>UACE<\/jats:styled-content> combined with curettage was found to be an effective fertility\u2010sparing treatment for CSP<\/jats:styled-content>. Further, the approach did not seem to harm future reproductive ability.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12636","type":"journal-article","created":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T05:03:21Z","timestamp":1533618201000},"page":"172-177","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Retrospective study of patients with cesarean scar pregnancies treated by uterine artery chemoembolization and curettage"],"prefix":"10.1002","volume":"143","author":[{"given":"Yang","family":"Li","sequence":"first","affiliation":[{"name":"Department of Gynecology Women's Hospital School of Medicine Zhejiang University Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lingjia","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Gynecology Women's Hospital School of Medicine Zhejiang University Hangzhou 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