Clinical effect of the ultrasound monitoring curettage and balloon placement hemostas in the treatment of cesarean scar pregnancy

Abstract

Objective To investigate the clinical effect of the ultrasound monitoring curettage and balloon placement hemostas in the treatment of cesarean scar pregnancy. Methods From May 2014 to May 2016, the clinical data of 13 cases with cesarean scar pregnancy in the People's Hospital of Hechuan District were retrospectively analyzed. All 13 cases received methotrexate, ultrasonic monitoring curettage and balloon placement hemostas therapy were observed. Results Of 13 cases, 11 cases were cured, including 9 cases of gestational sac endogenous type and mass type 2 cases. The intraoperative bleeding was (167±101)mL, the operation time was (12.3±6.3)min, the blood HCG dropped to normal time was (37.2±13.8)d. There were 2 cases of failure, all of which were exogenous gestational sac . Conclusion Utrasound monitoring curettage combined with balloon compression is a simple, safe and economical method for the treatment of endogenous type of caesarean scar pregnancy, which is worthy of clinical promotion. Key words: Ultrasonography; Cesarean section; Pregnancy, ectopic; Dilatation and curettage; Hemostatic techniques; Chorionic gonadotropin