Effect of laparoscopic pregnancy object resection combined with hysteroscopy exploration on the endometrial receptivity of CSP patients
10.3969/j.issn.1673-9701.2024.21.012
- VernacularTitle:腹腔镜下妊娠物切除联合宫腔镜探查对CSP患者子宫内膜容受性的影响
- Author:
Wei XU
1
;
Huan DING
Author Information
1. 湖州市中心医院湖州师范学院附属中心医院呼吸与危重症医学科,浙江湖州 313000
- Keywords:
Laparoscopic pregnancy object resection;
Hysteroscopy exploration;
Cesarean section;
Scar pregnancy;
Endometrial receptivity
- From:
China Modern Doctor
2024;62(21):51-54
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of laparoscopic pregnancy object resection combined with hysteroscopy exploration on endometrial receptivity in patients with type Ⅲ cesarean scar pregnancy(CSP).Methods The clinical data of 95 patients with type Ⅲ CSP admitted to Huzhou Central Hospital from January 2020 to January 2022 were collected.According to different treatment methods,they were divided into control group(47 cases of vaginal surgical local resection)and observation group(48 cases of laparoscopic pregnancy material resection combined with hysteroscopy exploration).Compared with two groups of postoperative indicators,physiological stress indicators,endometrial receptivity indicators,endometrial blood flow and endometrial echo classification.Results The vaginal bleeding time,human chorionic gonadotropin drop to normal time,menstruation return to normal time in observation group were shorter than those in control group(P＜0.05).The total incidence of complications in observation group was 2.08％,which was lower than 12.76％in control group(P＜0.05).After operation,the levels of cortisol and C-reactive protein in two groups increased,endometrial volume,vascular index and vascular flow index values decreased,and the changes of each index in observation group were greater than those in control group(P＜0.05).After treatment,there were differences in endometrial blood flow type and endometrial echo type between two groups(P＜0.05).The endometrial echo was mainly type Ⅲ in observation group(52.08％)and type Ⅱ in control group(38.30％).The endometrial echo of observation group was mainly type A(54.17％),while control group was mainly type B(40.43％).Conclusion Laparoscopic pregnancy object resection combined with hysteroscopy exploration is effective in the treatment of type Ⅲ CSP patients,with less damage to endometrial receptivity,which is conducive to the needs of patients for later pregnancy.
