|
|
|
| Comparison of the effect of laparoscopic and transvaginal lesion resection ectomy in treament of type II-III cesarean scar pregnancy |
| Huaian Maternal and Child Health Hospital, Jiangsu Province, 223000 |
|
|
|
|
Abstract To analyze the clinical effect of laparoscopic and transvaginal cesarean scar pregnancy (CSP) lesion resection for treating women with type II-III CSP. Methods: The clinical data of 76 women with type II-III CSP from January 2015 to November 2019 were collected retrospectively. Among them, 44 women were treated with laparoscopic CSP lesion excision (group A) and 32 women were treated with transvaginal CSP lesion excision (group B). The operative effect of the women was compared between the two groups. Results: There were no significant differences in the intraoperative blood loss, time of hospital stay, the time of menstruation recovery, the rate of the women with β-HCG level decreased over 50% on the first postoperative day, the time of β-HCG level returned to normal, and the rate of perioperative complication of the women between the two groups (P>0.05). The operative time (63.1±20.1min) of the women in group B was significant shorter than that (76.5±11.6min) of the women in group A, the hospitalization cost (8573±2416 Yuan) of the women in group B was significant lower than that (12088±1231 Yuan) of the women in group A, and the postoperative muscular thickness of the lower uterine segment (15.2±1.1mm) of the women in group B was significant was thicker than that (14.1±1.0mm) of the women in group A (P<0.05). Conclusion: Both laparoscopic and transvaginal CSP lesion resection for treating women with type II-III CSP have definite curative effect with good safety, but transvaginal CSP lesion resection has certain advantages in terms of less hospitalization costs, shorter operation time, and thicker postoperative muscular thickness of lower uterine segment.
|
|
|
|
|
|
|
|
|
