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- Title
Curettage or operative hysteroscopy in the treatment of cesarean scar pregnancy.
- Authors
Qian, Zhi-Da; Huang, Li-Li; Zhu, Xiao-Ming
- Abstract
<bold>Objectives: </bold>To compare the clinical effects of dilatation and curettage (D&C) regimen and operative hysteroscopy coupled with curettage regimen in the treatment of cesarean scar pregnancy (CSP) following preventive uterine artery embolization (UAE).<bold>Materials and Methods: </bold>Thirty-three women were treated with D&C after UAE (group A) and 33 women were treated with operative hysteroscopy coupled with curettage after UAE (group B). The clinical outcomes of the two groups were compared.<bold>Results: </bold>There was no significant difference between the two groups with respect to the success rate, the intraoperative blood loss, the hysterectomy rate, the hospitalization time, the decline of serum β-hCG after surgery, the time of serum β-hCG resolution, the time of vaginal bleeding after surgery, the time to CSP mass disappearance, and the subsequent intrauterine pregnancies. The hospitalization cost in group B was higher than group A.<bold>Conclusions: </bold>Both D&C and operative hysteroscopy coupled with curettage were successful in terminating a CSP. Hysteroscopy coupled with curettage regimen did not have significant advantages and good prognosis in dealing with the gestational sac type of CSP following preventive UAE compared with D&C regimen. Treatment should be individualized and several conditions must be considered.
- Subjects
UTERINE hemorrhage treatment; SURGICAL blood loss; CESAREAN section; COMBINED modality therapy; COMPARATIVE studies; HUMAN embryology; LENGTH of stay in hospitals; HYSTERECTOMY; HYSTEROSCOPY; RESEARCH methodology; MEDICAL cooperation; RESEARCH; SCARS; THERAPEUTIC embolization; EVALUATION research; TREATMENT effectiveness; UTERINE artery; DILATATION &; curettage; PREVENTION
- Publication
Archives of Gynecology & Obstetrics, 2015, Vol 292, Issue 5, p1055
- ISSN
0932-0067
- Publication type
journal article
- DOI
10.1007/s00404-015-3730-1