Combination of laparoscopy and hysteroscopy in resection of type Ⅲ or mass type caesarean scar pregnancy
10.3760/cma.j.issn.1671-7368.2019.03.012
- VernacularTitle:宫腹腔镜联合治疗Ⅲ型或包块型剖宫产瘢痕部位妊娠五例分析
- Author:
Shanshan ZHANG
1
;
Meifen WANG
;
Zeying CHAI
;
Feng QI
Author Information
1. 温州医科大学附属浙江省台州医院妇科 317000
- Keywords:
Pregnancy;
Scar uterus;
Cesarean section;
Gynecologic surgical procedures
- From:
Chinese Journal of General Practitioners
2019;18(3):264-266
- CountryChina
- Language:Chinese
-
Abstract:
From December 2016 to February 2018,5 patients with type Ⅲ or mass type cesarean scar pregnancy (CSP) were treated in Zhejiang Taizhou Hospital.The clinical features,imaging findings and disease outcome were retrospectively analyzed.There were 3 cases of type Ⅲ and 2 cases of mass type,which were diagnosed by transvaginal ultrasound.The CSPs were resected with combination of laparoscopy and hysteroscopy,the average intraoperative blood loss was 80 ml (50-100 ml) and there were not postoperative complications.The average length of hospital stay was 9.4 days (8-12 d).Postoperative serum β-hCG returned to normal in average 22 days (14-30 d),and the menstruation recovered in 22-39 days after operation.The data indicates that resection of type Ⅲ or mass type caesarean scar pregnancy with a combination of laparoscopy and hysteroscopy is an effective treatment.
