Abstract

Objective To investigate the therapeutic effect of laparoscopic bilateral internal iliac artery temporary occlusion on cesarean section scar pregnancy. Methods Retrospective research was performed in 60 cases of cesarean scar pregnancy who were treated in Gynecology Department of Henan Provincial People’s Hospital from February 2017 to October 2018. Among them, 30 cases in group A were treated by type II-III of laparoscopic bilateral internal iliac artery temporary occlusion followed by cesarean scar lesion clearance and repair, 30 cases in group B were treated by traditional interventional uterine artery embolization plus clearance. The bleeding volume, hospitalization time, hospitalization expenses, the time of menstruation after operation and the outcome of secondary pregnancy were compared between the two groups. Results Group A had less bleeding [(38.5±22.0) mL], shorter hospitalization time [(4.2±1.5) d], less hospitalization expenses [(21 720±685) yuan] compared with group B [(100.0±25.0) mL, (5.6±2.2) d, (28 756±980) yuan], the results were all statistically significant (P 0.05). Conclusion Laparoscopic excision and repair of scar site of cesarean section under temporary bilateral internal iliac artery occlusion is superior to traditional interventional uterine artery embolization plus uterine curettage in the treatment of cesarean section pregnancy. It has the advantages of exact curative effect, less surgical trauma and lower cost compared with interventional therapy. It can improve the rate of re-pregnancy after operation. It is an ideal method to treat uterine scar pregnancy by improving the rate of secondary pregnancy, delivery rate of secondary pregnancy and reducing the rate of secondary scar pregnancy. It can improve the treatment level of scar pregnancy and is worth popularizing. Key words: Cesarean scar pregnancy; Laparoscopic; Internal iliac artery occlusion curettage; Uterine curettage

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