Hysteroscopic Surgery for Endogenous Cesarean Scar Pregnancy:Clinical Analysis of 34 Cases

VernacularTitle:宫腔镜手术治疗内生型剖宫产瘢痕妊娠34例临床分析
Author: Huayi HUANG ; Yueming LUO ; Yin XU
Publication Type:Journal Article
Keywords: Cesarean scar pregnancy; Hysteroscopic surgery; Interventional treatment
From: Chinese Journal of Minimally Invasive Surgery 2015;(8):720-722
CountryChina
Language:Chinese
Abstract: Objective To investigate the applicative value of hysteroscopic surgery in the treatment of endogenous cesarean scar pregnancy ( CSP) . Methods A total of 34 patients with CSP in this hospital from April 2012 to October 2014 were treated by hysteroscopic surgery .Seven patients received uterine curettage under hysteroscopy and 27 patients got uterine artery embolization therapy before hysteroscopic surgery .All of them were regularly reviewed of β-hCG levels and ultrasound examinations . Results The surgical procedure was successfully completed in all the 34 cases.The operation time was (17.5 ±3.5) min, the intraoperative blood loss was (17.5 ±7.5) ml, and the hospitalization stay was 4-5 days.All of them had no serious complications .Their β-hCG levels were dropped to normal range within 28 days after operation , and all the patients had menstruation within 2 months after surgery . Conclusion Hysteroscopic surgery for CSP has advantages of good visibility , less bleeding, simple performance, high success rate, less postoperative complications , and shorter hospitalization time , being worthy of clinical utilization .