Management of Caesarean Scar Pregnancy by Hysteroscopy Combined with Foley Balloon Tamponade / 中国微创外科杂志

Objective To investigate the clinical effect of hysteroscopy combined with foley balloon tamponade in the management of caesarean scar pregnancy ( CSP ) . Methods Twenty-one cases were diagnosed as having CSP by ultrasound examinations from January 2008 to November 2013.Among them, 11 cases with serum β-hCG below 500 IU/L underwent the surgery after taking mifepristone for 2 days, while 10 cases with serum β-hCG over 500 IU/L underwent surgery after injection of MTX combined with oral administration of mifepristone for 7 -14 days.All the cases were treated by hysteroscopy combined with foley balloon tamponade . Results The hysteroscopic operation was successfully conducted in 19 of 21 cases, with the operate time ranged 15-42 min.One case was given a second hysteroscopy and one case required a secondary laparoscopic procedure for the uterine perforation.In 18 cases with preoperative serum β-hCG below 500 IU/L, the intraoperative blood loss was 20 -100 ml, while in another 3 cases with preoperative serum β-hCG 1085-2760 IU/L, the blood loss was 200-800 ml.Follow-up examinations at clinic for 2-4 weeks in 16 cases showed levels of β-hCG declined to normal and recovery of menstruation at 43-56 postoperative days with normal menses amount . Conclusion Hysteroscopy combined with foley balloon tamponade in the management of CSP offers advantages of safety and effectiveness , which is deserved to clinical application .

Constitutive characteristics and change trend of gynecological malignant tumors in 8009 hospitalized patients in Guangxi Zhuang Autonomous Region / 中华妇产科杂志

Objective To investigate the constitutive characteristics and the change trend of gynecologic malignant tumors in hospitalized patients in Guangxi Zhuang Autonomous Region over the recent 20 years.Methods Clinical data of 8009 in-patients who suffered from gynecologic malignant tumors in 23 hospitals from 1985 to 2004 in Guangxi Zhuang Autonomous Region were analyzed,with respect to the tumor types and change trend.Results(1)The leading 4 types of malignant tumors were cervical cancers, ovarian cancers,endometrial cancers,and malignant trophoblastic tumors according to the constitutive ratios of the tumors.The constitutive ratio of cervical cancer patients rose year by year,from 17.48% during the 1985-1989 period to 49.25% during the 2000-2004 period(P0.05).(2)The occurring age of cervical cancers became younger obviously,from≥60 years old dropped to