Wang Hongyan, Xue Fangfang, Wang Wenying
Department of Gynecology, The First Affiliated Hospital of Xi'an Medical University, Xi'an, Shaanxi Province, China.
J Int Med Res. 2024 Apr;52(4):3000605241241010. doi: 10.1177/03000605241241010.
We investigated the efficacy of a combination of laparoscopy and bilateral uterine artery occlusion (BUAO) for the treatment of type II cesarean scar pregnancy (CSP).
Patients with type II CSP underwent laparoscopy + bilateral uterine artery embolization (control group) or laparoscopy + BUAO (study group). Data regarding the duration of surgery, intraoperative hemorrhage, postoperative complications, the duration of the hospital stay, and the costs of hospitalization were retrospectively collected. One year later, the time to the return of the β-human chorionic gonadotropin (β-hCG) concentration to normal and to the return of menstruation were compared.
The duration of surgery, time to the return of menstruation, and incidence of postoperative complications in the study group were significantly less than in the control group, but there was no significant difference in the time for β-hCG to return to normal or the volume of intraoperative hemorrhage. The duration of hospitalization and costs for the control group were higher than those for the study group.
Laparoscopy in combination with BUAO is associated with minimal trauma, rapid recovery, a short duration of surgery, low cost of hospitalization, and a low postoperative complication rate. Thus, it represents a useful new surgical treatment for type II CSP.
我们研究了腹腔镜联合双侧子宫动脉阻断术（BUAO）治疗II型剖宫产瘢痕妊娠（CSP）的疗效。
II型CSP患者接受腹腔镜+双侧子宫动脉栓塞术（对照组）或腹腔镜+BUAO（研究组）。回顾性收集手术时间、术中出血、术后并发症、住院时间和住院费用等数据。一年后，比较β-人绒毛膜促性腺激素（β-hCG）浓度恢复正常的时间和月经恢复的时间。
研究组的手术时间、月经恢复时间和术后并发症发生率均显著低于对照组，但β-hCG恢复正常的时间或术中出血量无显著差异。对照组的住院时间和费用高于研究组。
腹腔镜联合BUAO具有创伤小、恢复快、手术时间短、住院费用低和术后并发症发生率低的特点。因此，它是一种治疗II型CSP的有用的新手术方法。
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