PDF(Pubmed)
Abstract：
OBJECTIVE: We investigated the efficacy of a combination of laparoscopy and bilateral uterine artery occlusion (BUAO) for the treatment of type II cesarean scar pregnancy (CSP).
METHODS: Patients with type II CSP underwent laparoscopy + bilateral uterine artery embolization (control group) or laparoscopy + BUAO (study group). Data regarding the duration of surgery, intraoperative hemorrhage, postoperative complications, the duration of the hospital stay, and the costs of hospitalization were retrospectively collected. One year later, the time to the return of the β-human chorionic gonadotropin (β-hCG) concentration to normal and to the return of menstruation were compared.
RESULTS: The duration of surgery, time to the return of menstruation, and incidence of postoperative complications in the study group were significantly less than in the control group, but there was no significant difference in the time for β-hCG to return to normal or the volume of intraoperative hemorrhage. The duration of hospitalization and costs for the control group were higher than those for the study group.
CONCLUSIONS: Laparoscopy in combination with BUAO is associated with minimal trauma, rapid recovery, a short duration of surgery, low cost of hospitalization, and a low postoperative complication rate. Thus, it represents a useful new surgical treatment for type II CSP.
METHODS: Patients with type II CSP underwent laparoscopy + bilateral uterine artery embolization (control group) or laparoscopy + BUAO (study group). Data regarding the duration of surgery, intraoperative hemorrhage, postoperative complications, the duration of the hospital stay, and the costs of hospitalization were retrospectively collected. One year later, the time to the return of the β-human chorionic gonadotropin (β-hCG) concentration to normal and to the return of menstruation were compared.
RESULTS: The duration of surgery, time to the return of menstruation, and incidence of postoperative complications in the study group were significantly less than in the control group, but there was no significant difference in the time for β-hCG to return to normal or the volume of intraoperative hemorrhage. The duration of hospitalization and costs for the control group were higher than those for the study group.
CONCLUSIONS: Laparoscopy in combination with BUAO is associated with minimal trauma, rapid recovery, a short duration of surgery, low cost of hospitalization, and a low postoperative complication rate. Thus, it represents a useful new surgical treatment for type II CSP.
摘要：
目的：我们研究腹腔镜联合双侧子宫动脉阻断术（BUAO）治疗II型剖宫产瘢痕妊娠（CSP）的疗效。
方法：II型CSP患者行腹腔镜+双侧子宫动脉栓塞术（对照组）或腹腔镜+BUAO术（研究组）。关于手术持续时间的数据，术中出血,术后并发症,住院时间,并对住院费用进行回顾性收集。一年后,比较了β-人绒毛膜促性腺激素（β-hCG）浓度恢复正常和月经恢复的时间。
结果：手术持续时间，月经回来的时间，研究组术后并发症发生率明显少于对照组,但β-hCG恢复正常时间和术中出血量无显著差异。对照组的住院时间和费用均高于研究组。
结论：腹腔镜联合BUAO与最小创伤相关，快速恢复,短时间的手术，住院费用低，术后并发症发生率低。因此，它代表了II型CSP的一种有用的新手术治疗方法。
方法：II型CSP患者行腹腔镜+双侧子宫动脉栓塞术（对照组）或腹腔镜+BUAO术（研究组）。关于手术持续时间的数据，术中出血,术后并发症,住院时间,并对住院费用进行回顾性收集。一年后,比较了β-人绒毛膜促性腺激素（β-hCG）浓度恢复正常和月经恢复的时间。
结果：手术持续时间，月经回来的时间，研究组术后并发症发生率明显少于对照组,但β-hCG恢复正常时间和术中出血量无显著差异。对照组的住院时间和费用均高于研究组。
结论：腹腔镜联合BUAO与最小创伤相关，快速恢复,短时间的手术，住院费用低，术后并发症发生率低。因此，它代表了II型CSP的一种有用的新手术治疗方法。
