摘要
Abstract
Objective:To explore the effect of hysteroscopic curettage for the treatment of cesarean scar pregnancy.Methods:32 patients with cesarean scar pregnancy were selected,they underwent hysteroscopic curettage.The clinical data of these patients were retrospectively analyzed.In the operation,all the patients were given the cervical injection of oxytocin and vasopressin;after operation,all the patients were given methotrexate cervical injection;after the operation,we checked the blood β-HCG and pelvic ultrasonography.Results:32 patients were all one-time successful without conversion to laparotomy and perforation of the uterus. The scar thickness,serum β-HCG and blood flow resistance index(RI) were compared,the differences were not significant(P>0.05).At 3 days after operation,serum β-HCG was decreased by an average of 85.1%±10.3%;at 7 to 23 days after operation, serum β-HCG was decreased to normal.Conclusion:There are many characteristics of application of hysteroscopic curettage for the treatment of cesarean scar pregnancy,such as little trauma,short operation time,less bleeding,faster postoperative recovery and shorter hospitalization time.It is a minimally invasive,direct,accurate and effective treatment method.关键词
宫腔镜/清宫术/剖宫产瘢痕妊娠Key words
Hysteroscopy/Dilatation and curettage/Cesarean scar pregnancy
