Abstract
Objective To compare and analyze the clinical curative effects of two methods on exogenous cesarean scar pregnancy(CSP). Methods From January 2011 to January 2016, the clinical data of 68 patients with CSP were studied retrospectively, they were divided into two groups: 17 cases were treated by uterine artery embolization combined with hysteroscopic surgery(hysteroscopic group); 41 cases were treated by uterine artery embolization combined with laparoscopic surgery (laparoscopic group). The bleeding and operation time, blood β-HCG decreased to normal time, postoperative recovery time of menstrual were observed between the two groups. Results Three cases in the hysteroscopic group were transformed to laparoscopic surgery because of introperative bloody loss, and two cases underwent second hysteroscopic surgery due to the ultrasound examination indicating a mass located in the cesarean scar, the 12 cases underwent hysteroscopic surgery successfully. Laparoscopic surgery were successfully completed in all of the 41 cases. In the hysteroscopic group, the operation time was shorter than that of laparoscopic group, the time for the return of serum β-HCG to normal was longer than that of laparoscopic group, the differences were significant (P all 0.05). The duration of absorption of mass were(41±4) days in hysteroscopic group, the mass were completely removed in laparoscopie group. Conclusions Two methods can be used for the treatment of exogenous CSP, however, laparoscopic group is better than that of hysteroscopic group in some cases. This management could repair the uterine seals, reduce the reoccurring risk and conservate the fertility potential. Key words: Cesarean scar pregnancy; Uterine artery embolization; Hysteroscopy; Laparoscopy
Published Version
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