Efficacy of transvaginal cesarean scar pregnancy debridement surgery and the analysis of related factors
10.3969/j.issn.1671-8348.2016.02.024
- VernacularTitle:阴式子宫瘢痕妊娠切除疗效及相关因素分析
- Author:
Zhifeng JIANG
;
Xiaoxia HU
;
Renfeng ZHAO
;
- Publication Type:Journal Article
- Keywords:
trasvaginal;
uterus;
cicatrix;
debridement
- From:
Chongqing Medicine
2016;(2):223-225
- CountryChina
- Language:Chinese
-
Abstract:
Objective Compare the efficacy of transvaginal cesarean scar pregnancy debridement surgery(treatment group) and the uterine artery embolization company with the curettage(control group) in the treatment of cesarean scar pregnancy and ana-lyze the related factors of the failure of the surgery .Methods Postoperative vaginal bleeding ,incidence of postoperative scar preg-nancy again ,and time of hospital stays after surgery were compared in two groups .Relationships between gestational age ,cesarean section ,the value of serum HCG ,B-mass size ,live births and surgical success rate were discussed .Results The mean amount of blood bleeding during operation of the treatment group was(85 .38 ± 13 .27)mL ,the rate of continue pregnancy after surgery was 2 .56% ,mean time of hospital stays was(5 .13 ± 0 .77)d ,Significantly lower than the control group[(163 .11 ± 34 .87)mL ,11 .90% , (8 .12 ± 1 .88)d ,all P< 0 .05] ;Blood HCG value ,B-mass size ,and live births were related with surgical success rate(P< 0 .05) ,But times of cesarean section and gestational age had no significant relationship with the surgical success rate(P> 0 .05) .Conclusion Tansvaginal cesarean scar pregnancy debridement surgery showed less damage on the treatment of cesarean scar pregnancy ,and re-duced the recurrence rate of the patient ,who had high blood HCG levels ,embryo survival and larger volume .
