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| Analysis of the efficacy and later pregnancy outcomes of women with uterine scar pregnancy after treatment by hysteroscopy |
| 1. Shangqiu Hospital of Traditional Chinese Medicine, Shangqiu， Henan ProvincE, 476000；2.Henan Provincial People's Hospital |
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Abstract To investigate the efficacy of hysteroscopy for treating incomplete abortion of women with uterine scar pregnancy (USP). Methods: From January 2015 to March 2017, 68 women with USP after cesarean section and incomplete abortion were selected in this study, which included 38 women who underwent hysteroscopy after bilateral uterine artery embolization were in the observation group, and 30 women who underwent traditional uterine clearance and adequate hemostasis after bilateral uterine artery embolization were in the control group. The operation situation and pregnancy outcomes of women were compared between the two groups. Results：There were no significant different in the operation time, duration of abdominal pain, and later pregnancy outcomes of women between the two groups (P>0.05). In the observation group, 1 woman had been converted to laparoscopic operation, while in the control group, 8 women had been converted to laparoscopic operation and 1 woman had been converted to open operation. The success rate of operation, the hospital stay time after operation, the amount and the duration of bleeding after operation, of women in the observation group were 97.4%, 4.3 days (4-8d), 21.5ml(5-50ml), and 4.7 days (2-12d), respectively, which were significant lower than those of women in the control group (P＜0.05). The recovery time of HCG level of women after operation in the observation group was 10.7%, which was significant lower than that of women in the control group (P＜0.05). There were no significant difference in the other indicators of pregnancy outcomes between the two groups (P>0.05). Conclusion: Compared to the traditional curettage, hysteroscopy with bilateral uterine artery embolization is an ideal method for treating incomplete abortion of scar pregnancy, which has fewer traumas, less bleeding, higher success rate, faster recovery, and lower rate of spontaneous abortion in next pregnancy.
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