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《Journal of Sun Yat-sen University(Medical Sciences)》 2016-06
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Transvaginal Surgical Management of Cesarean Scar Pregnancy: Clinical Analysis of 80 Cases from One Tertiary Medical Center

LI Jin-bo;CHEN Shu-qin;KONG Ling-zhi;FAN Li;HUANG Jing-zhi;YAO Shu-zhong;Department of Obstetrics and Gynecology,The First Affiliated Hospital of Sun Yat-Sen University;  
【Objective】To estimate the safety and efficacy of transvaginal surgical management of cesarean scar pregnancy(CSP).【Methods】A total of 80 patients diagnosed with CSP received transvaginal surgical management in our hospital from December 2009 to December 2014. Primary treatment group(54 patients) defined as patients have not received any treatment before transvaginal surgical management. Rescue treatment group(26 patients) referred to the patients received any previous treatment. Preoperative,intraoperative and postoperative data of both groups were collected and analyzed retrospectively. 【Results】Operative time, estimated blood loss, postoperative hospital stay, hospitalization expenses, serum β-h CG resolution time, menstruation recovery time, success rate, intraoperative complication rate, postoperative complication rate and total complication rate in all patients were(56 ± 31) min,50(22 ~ 50) m L,(4.7 ± 2.8) d,(9013 ± 3244) RMB yuan,(3.0 ± 1.6) weeks,(1.22 ± 0.49) month, 97.50%, 6.25%, 12.50%,and 16.25%, respectively. There were lower operative time, estimated blood loss, postoperative hospital stay, hospitalization expenses, menstruation recovery time, intraoperative complication rate, postoperative complication rate and total complication rate in primary treatment group, and there were statistically significant in operative time, hospitalization expenses, intraoperative complication rate and total complication rate between the two groups(P 0.05). There were higher serum β-h CG resolution time and success rate in primary treatment group, with P 0.001 and P = 0.103 respectively. 【Conclusion】Transvaginal surgery is an effective and safe management option for CSP patients.
【Fund】: 广东省自然科学基金(2014A030313165)
【CateGory Index】: R714.22
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