Predictors of Postpartal Retained Products of Conception

被引：8

作者：

Thangarajah, Fabinshy ^{[1
,2
,3
]}

Brunner, Magdalena ^{[1
,2
]}

Pahmeyer, Caroline ^{[1
,2
]}

Radosa, Julia Caroline ^{[4
]}

Eichler, Christian ^{[1
,2
,3
]}

Ludwig, Sebastian ^{[1
,2
]}

Morgenstern, Bernd ^{[1
,2
]}

Mallmann, Peter ^{[1
,2
]}

机构：

[1] Univ Hosp Cologne, Dept Obstet & Gynecol, Cologne, Germany

[2] Med Fac, Cologne, Germany

[3] Univ Hosp Cologne, Breast Ctr, Cologne, Germany

[4] Saarland Univ, Med Ctr, Clin Gynecol Obstet & Reprod Med, Homburg, Germany

来源：

IN VIVO | 2019年 / 33卷 / 02期

关键词：

Delivery; RPOC; curretage; TRANSVAGINAL SONOGRAPHY; DIAGNOSIS; ULTRASONOGRAPHY; DELIVERY; TISSUE;

D O I：

10.21873/invivo.11496

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background: Retention of products of conception (RPOC) following delivery is rare. Clinicians often have the impression that a high proportion of patients with sonographically suspected RPOC following surgery have a negative histopathology. Hence, we aimed to report our single-center experience with suspected RPOC and histopathological outcome after surgery. Patients and Methods: In this retrospective analysis, patients who underwent surgery due to suspected postpartum RPOC were analyzed for potential predictive clinical and sonographic parameters. Results: A total of 32 patients with histopathologically-confirmed RPOC were compared with 21 patients with a negative histopathological report for RPOC. Endometrial hyperechogenic mass and clinical parameters such as pain, fever and bleedings were not predictive for RPOC. Increased age (p=0.001) and vaginal delivery (p=0.040) were significantly associated with RPOC. Conclusion: Clinical presentation alone is not predictive for RPOC. Vaginal delivery and younger age seem to be a risk factor and therefore have to be considered in patients with suspected RPOC.

引用

页码：469 / 472

页数：4

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