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| The optimal time of dilatation and curettage subsequent to uterine artery chemoembolization in Patients with cesarean scar pregnancy |
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Abstract Objective: The optimal time of dilatation and curettage (D＆C) subsequent to uterine artery chemoembolization (UACE) in Patients with cesarean scar pregnancy (CSP) is not clear. This study aimed to explore effectiveness and safety of different D＆C time after UACE. Methods: A total of 151 patients were enrolled, and who were divided into 3 groups according to the D＆C time, that were33 patients in group A (1-2 days after UACE), 50 patients in group B (3-4 days after UACE), and 68 patients in group C (5-7 days after UACE). the outcomes included The bleeding volume during D＆C, the status of serum β-hCG decreased before D＆C , time of menstruation restoration, time of serum β-hCG returning to normalization, and time of residuals exclusion at cesarean scar. Result: Compared to group A and B, serumβ-hCG decreased significantly in group C (P<0.01). There were no significant differences among the three groups in term of bleeding volume, time of serum hCG normalization, and exclusion of residuals (P>0.05). Both the time of hospital stays and time of menstruation restoration were longest in group C (P<0.001). Conclusion: D＆C within two days for patients after UACE should decrease time of hospital stays, improve menstruation restoration, and should not increase bleeding volume during D＆C or time of residuals remain.
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