Treatment Efficacy Analysis in Patients with Type Ⅱ Cesarean Scar Pregnancy Treated with Different Minimally Invasive Surgical Methods / 中国医科大学学报

ABSTRACT

Objective To discuss the clinical effects of hysteroscopy and hysteroscopy combined with laparoscopy on typeⅡcesarean scar pregnancy (CSP). Methods We selected 58 patients diagnosed as having typeⅡCSP in Shengjing Hospital, China Medical University, between February 2013 and January 2016. Group A consisted of 36 patients who were treated with hysteroscopic CSP resection, while group B consisted of 22 patients treated with hysteroscopy combined with laparoscopic CSP resection and uterine repair. We compared the operation condition, single-operation success rate, postoperative recovery, and succeeding pregnancy outcome. Results The operation time in group A was 26.6±4.9 min, which was obviously shorter than that in group B. The bleeding volume in group A was 71.9±9.7 mL, which was obviously less than that in group B. No operation complication occurred in the two groups. The single-operation success rate was83.3％ in group A and 86.4％ in group B, indicating no significant difference. No significant differences in menstruation recovery and the rate of decrease in human chorionic gonadotropin level to normal were found between groups A and B. Conclusion Both hysteroscopy and hysteroscopy combined with laparoscopy can be used to treat typeⅡcesarean scar pregnancy.