Evaluation of Endometrial Cavity After Conservative Management of PAS Patients by Hysteroscopy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 1
研究概览
简要总结
This study aimed to evaluate the endometrial cavity by hysteroscopy after different conservative management of placenta accrete spectrum (PAS), that has impact on the future fertility outcome and menstrual pattern of patients.
详细描述
Placenta Accreta Spectrum is usually associated with maternal morbidity and mortality. The morbidly adherent placenta spectrum includes, placenta accreta when the placenta invades the endometrium beyond Nitabuch's layer of decidua basalis, placenta increta when the placenta invades the myometrium, and placenta percreta when the placenta invades the uterine serosa.
The risk factors of PAS include previous caesarean section (CS), previous myomectomy, placenta previa, and damage of Nitabuch's layer following intrauterine infection and/or endometrial curettage.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age from 20 to 40 years.
- •Pregnant women more than 28 weeks have a desire to preserve future fertility.
- •Diagnosis of Placenta accreta spectrum (PAS) was evaluated by 2 D grey scale ultrasound and Doppler study of invasion of the placenta.
- •History of at least previous caesarean section (CS) or any intrauterine operation like myomectomy.
- •Females with history of different conservatives management methods of PAS in last three months.
排除标准
- •Non placenta accreta spectrum and primigravida.
- •Those who have congenital anomalies in the uterus.
- •Those with bleeding tendency.
- •Those women that had hysterectomy as a radical surgery.
研究组 & 干预措施
Group II
Patients underwent cervical eversion and pouch closure.
干预措施: Cervical eversion and pouch closure (Procedure)
Group III
Patients underwent anterior and posterior sutures.
干预措施: Anterior and posterior sutures (Procedure)
Group I
Patients underwent resection and reconstruction.
干预措施: Resection and reconstruction (Procedure)
研究者
Rania Mahmoud Ahmed Elkhalily
Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Sohag University, Sohag, Egypt.
Sohag University