Clinical study on the effect of surgical treatment of typeⅢCSP patients with fertility requirements

Abstract:

Objective: To explore the clinical treatment effects of two surgical methods of typeⅢcesarean scar pregnancy (CSP) vaginal and laparoscopic focal excision repair (FER) with fertility requirements. Methods: Retrospective analysis was made on 55 cases of typeⅢCSP with fertility requirements taking non-invasive assisted vaginal FER and 36 cases of laparoscopic FER admitted to Chongqing Health Center for Women and Children from January 2017 to December 2019. Results: The operation went smoothly among 88 cases. The bleeding during vaginal FER operation was (116.6±33.3) mL, and the operation time was (68.0±13.3) min; the bleeding during laparoscopic FER operation was (150.6±31.6) mL, and the operation time was (107.0±13.3) min. There were significant differences in the bleeding volume and operation time among the two kinds of operations (P<0.05). The hospitalization cost of vaginal FER was significantly lower than that of laparoscopic FER (P<0.05). The scar thickness of female FER incision [(4.66±0.30) mm]was significantly greater than that of laparoscopic FER [(4.06±0.37) mm]in one-year of ultrasound follow-up after operation (P<0.05), and there was no significant difference in pregnancy after 18 months (P>0.05). Conclusion: There are advantages and disadvantages of the two surgical methods for typeⅢCSP, and uterus artery embolization (UAE) can be avoided in non-emergency situations.