Choosing the optimal therapeutic strategy for placental polyps using power Doppler color scoring: Transarterial embolization followed by hysteroscopic resection or expectant management?

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• 作者：Masahiko Mori ; Akira Iwase ; ^{akiwase@med.nagoya-u.ac.jp" class="auth_mail" title="E-mail the corresponding author} ; Satoko Osuka ; Mika Kondo ; Tomoko Nakamura ; Tatsuo Nakahara ; Maki Goto ; Fumitaka Kikkawa
• 关键词：hysteroscopic resection ; placental polyps ; power Doppler ; transarterial embolization ; vascularity
• 刊名：Taiwanese Journal of Obstetrics and Gynecology
• 出版年：2016
• 出版时间：August 2016
• 年：2016
• 卷：55
• 期：4
• 页码：534-538
• 全文大小：948 K

文摘

To evaluate a protocol for selection of placental polyp management, including expectant management and hysteroscopic resection with or without transarterial embolization (TAE), using power Doppler color score (PDCS) as the vascularity parameter.

Materials and Methods

This retrospective case–control study included 25 patients who were diagnosed with placental polyps. We evaluated the vascularity of placental polyps with PDCS measured by transvaginal ultrasonography as follows: PDCS 1, no blood flow; PDCS 2, minimal flow; PDCS 3, moderate flow; and PDCS 4, marked blood flow. We then selected expectant management or hysteroscopic resection with or without TAE.

Results

Three of 17 patients with PDCS 1 or 2 underwent surgical intervention, and expectant management was successful in 14. Seven of eight patients with PDCS 3 or 4 underwent surgical intervention, while expectant management was successful in only one patient.

Conclusion

PDCS is a simple examination for evaluating the vascularity of placental polyps. PDCS might be useful for selecting the optimal treatment for placental polyps, such as expectant management or surgical intervention, according to their vascularity.