Volume 29, Issue 4, 2020
DOI: 10.24205/03276716.2020.842
Clinical Observation of Hysteroscopy Combined with Uterine Artery Embolization in The Treatment of Scar Pregnancy in Cesarean Section
Abstract
Objective: To investigate the clinical effect of hysteroscopy combined with uterine artery embolization in the treatment of cesarean scar pregnancy.
Methods: 80 cases of cesarean scar pregnancy in our hospital from January 2016 to December 2019 were selected as the research object, and they were divided into two groups according to the random number table method. 40 cases in the control group were treated with hysteroscopy; 40 cases in the observation group were treated with hysteroscopy combined with uterine artery embolization. The clinical indexes, surgical effects and complications were compared between the two groups.
Result: The uterine recovery time and operation time in the control group were significantly longer than those in the observation group, and the intraoperative blood loss was significantly higher than that in the observation group (P < 0.05); after treatment, the lesion diameter and blood β - hCG level of the two groups were decreased, and the lesion diameter of the observation group was smaller than that of the control group, and the blood β-HCG value of the observation group was lower than that of the control group, the difference was statistically significant (P < 0.05); the complications in the control group were significantly lower than those in the control group The incidence rate was higher than the observation group, the difference was statistically significant (P < 0.05).
Conclusion: Hysteroscopy combined with uterine artery embolization in the treatment of cesarean scar pregnancy has significant curative effect, can significantly improve the clinical symptoms of patients, retain the fertility of patients, ensure the quality of life of patients after surgery, and fewer complications, high safety, worthy of clinical application.
Keywords
Hysteroscope; Uterine artery embolization; Cesarean scar pregnancy; Complications