[Comparison of hysteroscopy and curettage in incomplete pregnancy with cesarean scar pregnancy].

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[Comparison of hysteroscopy and curettage in incomplete pregnancy with cesarean scar pregnancy].

Zhonghua Yi Xue Za Zhi. 2018 Jan 16;98(3):217-221

Authors: Zhao L, Yang H, Ma BR, Yin ZH

Abstract
Objectives: To evaluate the value of hysteroscopy in the diagnosis and treatment of cesarean scar pregnancy (CSP) incomplete abortion. Methods: A total of 42 patients with incomplete cesarean circumcision from January 2014 to March 2017 were retrospectively analyzed.Twenty-one patients underwent bilateral uterine artery embolization.Twenty patients underwent hysteroscopy Electrocardiose resection of pregnancy tissue and coagulation hemostasis, the control group of 22 patients underwent conventional uterine artery embolization surgery. Results: One patient in the study group was changed to laparoscopic surgery.In the control group, 2 patients were changed to laparoscopic surgery and 2 patients underwent laparotomy.The duration of hospitalization, the amount of postoperative bleeding and the duration of bleeding were significantly lower in the study group than in the control group.The recovery time of HCG in the study group was significantly shorter than that in the control group. Conclusion: Compared with traditional uterine artery embolization, hysteroscopic resection of cesarean section scar residual tissue less bleeding, higher success rate of surgery, less trauma, faster recovery, treatment Cesarean section scar scar pregnancy abortion is the ideal method.

PMID: 29374918 [PubMed - in process]

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