TVS, SHG, and MRI in Uterine Niche

International Peace Maternity and Child Health Hospital

Status: Completed

Conditions: Uterine Niche

Study type: Observational

Funder types: Other

Identifiers

NCT07279181

GKLW-2024-044-A

Details and patient eligibility

About

Uterine niche is a defect formed by poor healing of the lower uterine myometrium after cesarean section, defined as a depression of at least 2mm in the uterine myometrium at the cesarean scar; it is associated with gynecological symptoms and even life-threatening pregnancy complications, so accurate imaging evaluation is crucial for diagnosis, symptom grading, and treatment planning. Currently, transvaginal ultrasound (TVS), saline hysterosonography (SHG), and magnetic resonance imaging (MRI) are commonly used for evaluation, but there are controversies about the consistency of their measurements and repeatability of results. This observational study, conducted at the International Peace Maternity and Child Health Hospital affiliated with Shanghai Jiao Tong University School of Medicine, included women diagnosed with uterine niche.

Enrollment: 60 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women (18-45 years) diagnosed with CSD at our center.
• Women having postmenstrual spotting after CS
• Signed informed consent.

Exclusion criteria

• Women who has a positive urine pregnancy test.
• Presence of an intrauterine device.
• With poor image quality from image will be excluded.
• Refuse to participate in this study.

Trial design

60 participants in 1 patient group

Women diagnosed with uterine niche

Description:

Women diagnosed with uterine niche, all patients underwent ultrasound, hysterosonography, and thin-slice MRI before surgery, and hysteroscopic evaluation of the niche was completed during the operation.