| Objective To analyze the clinical effects of different treatment options for cesarean scar pregnancy. Methods The clinical data of 183 patients with cesarean scar pregnancy who were admitted to Anhui Maternal and ChildHealth Hospital between January 2015 and December 2017 were retrospectivelyanalyzed. These patients were divided into 4 groups according to the treatmentmethods, group A (n=44) were treated with curettage; Group B (n=32) were treated with methotrexate plusing uterine artery embolization and curettage; Group C (n=11) were treated with methotrexate plusing uterine artery embolizationand uterine scar pregnancy excision plusing repair; Group D (n=96) were treatedwith transvaginal uterine scar pregnancy resection and repair. Observed and compared the perioperative related indexes of 4 groups of patients[intraoperative blood loss, blood β-human chorionic gonadotropin (β-HCG) decline rate, length of hospital stay], hospitalization expenses, postoperative complications, treatment success rate and prognosis follow-up indicators (blood β-HCG returns to normal time, menstrual re-tidal time, postoperative pregnancy, etc.). Results There was no significant difference in intraoperative blood loss and postoperative pregnancy between the 4 groups (P>0.05). The decline rate of blood β-HCG on the second postoperative day and the time of blood β-HCG recovery to normal in group C patients were better than those in the other 3 groups. However, the hospitalization days and expenses were higher than the other 3 groups, the differences between the 4 groups were statistically significant (P<0.05). The success rates of treatment in group A, B, C, and D were 81.82%, 100%, 100%, and 94.79%, respectively, and the difference was statistically significant (P<0.05). The menstrual recovery time in group B was larger than that in the other three groups, and the difference was statistically significant (P<0.05). Conclusion The better effect was obtained with methotrexate plusing uterine artery embolization and uterine scar pregnancy excision plusing repair, but the hospital stay is long, hospitalization costs are higher. |
