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Abstract Objective:To compare the clinic effect of transvaginal hysterotomy and uterine curettage after uterine artery embolization (UAE) for treating patients with cesarean scar pregnancy (CSP). Methods: The clinical data of 50 patients with CSP in Shanghai first maternity and infant hospital from July 2015 to Jun 2017 were retrospectively analyzed in this study. 23 patients treated by transvaginal hysterotomy were in transvaginal surgery group, and 27 patients received uterine curettage after UAE were in UAE group. The clinical information on these patients and clinical outcomes were reviewed and compared. Results: All the 50 patients were treated successfully. The incidence of postoperative abdominal pain of patients in transvaginal surgery group (21.7%) was significant lower than that of patients in UAE group (89.2%). The cost of hospitalization (16101.9±5500.6 yuan) of patients in transvaginal surgery group was also significant lower than that of patients in UAE group (20124.5±2200.6 yuan). There were no significant difference in decrease of blood-hCG postoperation and menstrual recovery time between the two groups. During the followed up, there was 1 cases of amenorrhea in the UAE group, and another 1 cases in UAE group had CSP again after 6 months. Conclusion: Transvaginal hysterectomy for treating patients with CSP has perfect effectiveness. Compared with uterine curettage after UAE, it has less postoperative pain, and the treatment costs is lower.
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