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| Analysis of transvaginal surgery and uterine artery embolization combined with uterine curettage for treating women with cesarean scar pregnancy |
| Tangshan Maternal and Child Health Care Hospital, Hebei Province, 063000 |
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Abstract Objective: To compare the effect of transvaginal surgery and uterine artery embolization (UAE) combined with uterine curettage for treating women with cesarean scar pregnancy (CSP). Methods: The clinical data of 106 women with CSP from October 2016 to March 2018 were retrospectively analyzed. They were divided into observation group (n=63) and control group (n=43) according to different treatment methods. The CSP of women in the observation group were treated by transvaginal surgery, and the women in the control group were treated by UAE combined with UAE) combined with uterine curettage. The levels of serum βhuman chorionic gonadotropin (β-hCG) of all women were detected before and after operation. The complication rate and clinical efficacy of women were followed up. The quality of life of all women was evaluated by WHO quality of life scale. Results: The total effective rate of women in the observation group was 96.8%, which was significant higher than that (88.4%) of women in the control group (P<0.05). On the 7th and 14th day after operation, the level of serum β-hCG of women in both groups had significantly decreased (P<0.05), and the level of serum β-hCG of women in the observation group was significant lower than that of women in the control group (P<0.05). The operation time and the amount of blood loss during operation of women in the observation group were significant higher than those of women in the control group (P<0.05). The body temperature at 24 hours after operation and the pain rate of women in the observation group were significant lower than those of women in the control group (P<0.05). The scores of physiological and social relations of women in the observation group were significant higher than those of women in the control group (P<0.05). There was no difference in psychological and environmental scores of women between the two groups (P>0.05). Conclusion: Transvaginal surgery for treating women with CSP can improve the clinical efficacy and the recovery quickly after operation, which can improve the quality of life of women in physiological and social relations, but the quality of operation needs to be improved.
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