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• W2995352921 abstract "The association of residual myometrium thickness (RMT) and scar defect depth (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M1><mml:mi>D</mml:mi></mml:math>) with menstrual abnormalities and the effectiveness of vaginal repair remain to be determined in patients with cesarean section scar diverticulum (CSD). To assess the value of ultrasound to predict vaginal repair effectiveness. This was a retrospective study of patients with CSD treated with vaginal repair between 01/2014 and 02/2016 at Shanghai First Maternity and Infant Hospital (Tongji University). Transvaginal ultrasound was performed before and 3 months after surgical repair. RMT, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M2><mml:mi>D</mml:mi></mml:math>, scar defect length (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M3><mml:mi>L</mml:mi></mml:math>), and scar defect width (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M4><mml:mi>W</mml:mi></mml:math>) were measured. Width (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M5><mml:mi>W</mml:mi></mml:math>), <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M6><mml:mi>D</mml:mi></mml:math>, and <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M7><mml:mi>L</mml:mi></mml:math> increased along the duration of menstrual period (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M8><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.05</mml:mn></mml:math>). When the menstrual extension time was ≥15 days, <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M9><mml:mtext>RMT</mml:mtext><mml:mo>/</mml:mo><mml:mi>D</mml:mi></mml:math> and <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M10><mml:mtext>RMT</mml:mtext><mml:mo>/</mml:mo><mml:mfenced open=( close=)><mml:mrow><mml:mtext>RMT</mml:mtext><mml:mo>+</mml:mo><mml:mi>D</mml:mi></mml:mrow></mml:mfenced></mml:math> were smaller than in patients with period <15 days (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M11><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.05</mml:mn></mml:math>). <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M12><mml:mi>L</mml:mi></mml:math> was the most positively correlated ultrasonic parameter with menstrual prolongation (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M13><mml:mi>r</mml:mi><mml:mo>=</mml:mo><mml:mn>0.492</mml:mn></mml:math>). <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M14><mml:mtext>RMT</mml:mtext><mml:mo>/</mml:mo><mml:mi>D</mml:mi></mml:math> and <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M15><mml:mtext>RMT</mml:mtext><mml:mo>/</mml:mo><mml:mfenced open=( close=)><mml:mrow><mml:mtext>RMT</mml:mtext><mml:mo>+</mml:mo><mml:mi>D</mml:mi></mml:mrow></mml:mfenced></mml:math> were negatively correlated with prolonged menstruation (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M16><mml:mi>r</mml:mi><mml:mo>=</mml:mo><mml:mo>‐</mml:mo><mml:mn>0.304</mml:mn></mml:math> and -0.305, respectively). <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M17><mml:mtext>RMT</mml:mtext><mml:mo>/</mml:mo><mml:mi>D</mml:mi></mml:math> and <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M18><mml:mtext>RMT</mml:mtext><mml:mo>/</mml:mo><mml:mfenced open=( close=)><mml:mrow><mml:mtext>RMT</mml:mtext><mml:mo>+</mml:mo><mml:mi>D</mml:mi></mml:mrow></mml:mfenced></mml:math> were associated with the disappearance of CSD after vaginal repair (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M19><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.05</mml:mn></mml:math>). The cutoff value of <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M20><mml:mtext>RMT</mml:mtext><mml:mo>/</mml:mo><mml:mfenced open=( close=)><mml:mrow><mml:mtext>RMT</mml:mtext><mml:mo>+</mml:mo><mml:mi>D</mml:mi></mml:mrow></mml:mfenced></mml:math> was 0.496, with sensitivity of 53.0% and specificity of 61.4%. <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M21><mml:mi>L</mml:mi></mml:math> of CSD is closely correlated with menstrual extension but has no relationship with the effectiveness of surgery. <mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M22><mml:mtext>RMT</mml:mtext><mml:mo>/</mml:mo><mml:mfenced open=( close=)><mml:mrow><mml:mtext>RMT</mml:mtext><mml:mo>+</mml:mo><mml:mi>D</mml:mi></mml:mrow></mml:mfenced></mml:math> is correlated with menstrual extension time ≥15 days and the effectiveness of vaginal repair." @default.
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• W2995352921 title "Association of Menstrual Extension and Surgery Effectiveness with Ultrasound Parameters of Cesarean Section Scar Diverticulum in Patients Undergoing Transvaginal Uterine Diverticulum Repair" @default.
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