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| Comparison of the Efficacy of Transvaginal and Hysteroscopic CSP Lesion Resection in the Treatment of Incomplete Abortion of Uterine Scar Pregnancy after Cesarean Section |
| HUANG Wei, MAN Na |
| Department of Gynecology, Baoji Maternal and Child Health Hospital, Baoji Shaanxi,721000 |
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Abstract 【Objective】 To compare the efficacy of transvaginal and hysteroscopic resection of uterine scar pregnancy (CSP) for incomplete abortion after cesarean section.【Methods】 The clinical data of 80 patients with CSP incomplete abortion after cesarean section in our hospital from January 2014 to January 2019 were retrospectively analyzed. All patients received uterine artery embolization before operation, including 36 cases of transvaginal CSP lesion resection and repair (observation group), 44 cases of hysteroscopic CSP lesion resection (control group). The conversion rate, complications, intraoperative and postoperative indexes were compared between the two groups. 【Results】 No serious complications such as bladder injury, TURP syndrome and hysterectomy occurred in both groups. The conversion rate of the control group (22.7%) was higher than that of the observation group (5.6%), and the difference was statistically significant (P<0.05); there was no significant difference in the rate of intrauterine infection and abdominal pain between the two groups (P>0.05); the average intraoperative blood loss in the observation group (105 mL) was lower than that in the control group (325 ml), and the difference was statistically significant (P<0.05). The success rate of the first operation in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05); the amount of postoperative vaginal bleeding was lower than that of the control group, and the duration of postoperative vaginal bleeding was shorter than that of the control group, the difference was statistically significant (P<0.05). The average decrease rate of HCG level in the observation group was higher than that in the control group (P<0.05). There was no significant difference in operation time and hospitalization time between the two groups (P<0.05). 【Conclusion】 Compared with hysteroscopy, transvaginal resection of CSP focus has the advantages of less bleeding, higher success rate, faster postoperative recovery, and repair of uterine scar diverticulum, which is an ideal method for the treatment of incomplete abortion of CSP.
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Received: 12 August 2019
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2020, Vol. 37 
