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| Effect of ultrasound-guided bilateral uterine artery chemoembolization combined with uterine evacuation for treating cesarean scar pregnancy of patients |
| Nanyang First People's Hospital Affiliated to Henan University, Nanyang, Henan Province, 473003 |
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Abstract To investigate the effect of ultrasound-guided bilateral uterine artery chemoembolization (UACE) combined with uterine evacuation for treating cesarean incision scar pregnancy (CSP) of patients, and to study its influence on the ovarian function of these patients. Methods: 82 patients with CSP were selected and were divided into two groups according to the treatment methods from January 2017 to January 2020. 41 cases had received UACE treatment were included in control group, and 41 cases had received UACE combined with uterine evacuation were included in observation group. The treatment effect and the complication rate of the patients were compared between the two groups. The levels of serum anti-Müllerian hormone (AMH), follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), and prolactin (PRL) of the patients in the two groups before surgery and in 3 months after surgery were detected. Results: There were no significant differences in the success rate of surgery (97.6% vs. 100.0%) and the complication rate (7.3% vs. 2.4%) of the patients between the two groups (all P＞0.05). The intraoperative blood loss (76.1±17.2ml), the duration of hospital stay (7.0±1.3d), the time of HCG recovery (17.8±3.6d), the time of mass regression (24.9±3.7d), and the time to menstrual recovery (30.2±3.7d) of the patients in the observation group were all significantly lower than those (121.1±33.7ml, 9.9±1.9d, 27.8±6.1d, 33.2±9.3d, and 38.9±6.7d) of the patients in the control group (all P＜0.05). There were no significant differences in the postoperative menstrual cycle and re-pregnancy of the patients between the two groups (P＞0.05). Three months after operation, there were no significant differences in the levels of serum AMH, FSH, LH, E2, and PRL of the patients between the two groups (P＞0.05). Conclusion：Ultrasound-guided bilateral UACE combined with uterine evacuation for treating CSP of the patients is safe and effective, and which has little influence on the ovarian function of the patients, and had better postoperative recovery.
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