Clinical study of hysteroscopic resection for cesarean scar pregnancy

• DOI: 10.3760/cma.j.issn.1008-6706.2020.06.002
• Publication Date: 2020-03-15
• Authors: Zhu Yong; Xiaodong Zheng; Zhenzhen Zhu; Hui Teng; Feifei Ni
• Keywords: Human chorionic gonadotropin; Vaginal bleeding; Uterine Artery Embolization

Objective To investigate the clinical effect of hysteroscopic scar excision for cesarean pregnancy(CSP) and its on serum β-human chorionic gonadotropin(β-HCG).

Methods From January 2017 to 2019, 83 patients with endogenous CSP admitted People's Hospital Wenzhou were divided into observation group(43 cases) control group(40 according different surgical methods.The group underwent lesion resection, while uterine artery embolization.The success rate, intraoperative bleeding volume, vaginal time hospitalization time, postoperative complications recovery blood β-HCG compared between two groups.

Results The rate operation in was 97.67%(42/43), which higher than that group[82.50%(33/40)](χ2=3.875, P 0.05). The group[(19.54±3.52)d]was shorter group[(28.73±6.57)d](t=8.020, P<0.05). total satisfaction 77.50%(31/40) group(χ2=6.170, P<0.05).

Conclusion Hysteroscopy-assisted is effective treatment CSP, can shorten β-HCG.

Key words: Hysteroscopy; Cicatrix; Cesarean section; Pregnancy, ectopic; Chorionic gonadotropin, beta subunit, human; Uterine hemorrhage; Postoperative complications; Patient