摘要
Abstract
Objective To observe the clinical characteristics of cesarean scar pregnancy (CSP),and to discuss how to choose the therapy according to its type. Methods The clinical characteristics of 185 patients dignosed as cesarean scar pregnancy and treated in Shengjing Hospital of China Medical University from January 2009 to September 2011 were retrospectively analyzed. The clinical features of CSP were summerized and differences were compared in outcomes between endogeous and exogeous CSP managed by the same treatment. Results (1) Hysteroscopy was significantly superior for endogeous type than for exogenous type in blood loss .operative time,and postoperative hospital stay,whose P values were respectively 0.000,0.027 and 0.002;(2) Curettage was better for endogenous type than exogenous type in operative time with the P value of 0.004;(3) For endogenous CSP,hysteroscopic resection was better than transvaginal approach in blood loss, operative time,and postoperative hospital stay with the P value of 0.015,0.001 ,and 0.021 .respectively; (4) Hysteroscopic resection of exogenous CSP was better than curettage, transvaginal hysterolomy and abdominal hysterotomy in operation time with the P values of 0.013,0.025,and 0.000,respectively;(5) Hysteroscopic resection of exogenous CSP was belter than curettage in blood loss with the P value of 0.035; (6) No significant differences in other parameters were noted (P> 0.05). Conclusion Endogenous CSP treated by hysteroscopic surgery can reduce the operation time and blood loss with low secondary treatment. Treatment of exogenous CSP by abdominal hysterotomy can reduce the risk of secondary treatment,but has greater trauma. In addition,hysterotomy by transvaginal approach may become a new minimally invasive treatment for CSP.关键词
剖宫产瘢痕妊娠/异位妊娠/临床特点/治疗Key words
cesarean scar pregnancy/ ectopic pregnancy/ clinical characteristics/ treatment分类
医药卫生
