Observation on the Effect of Uterine Artery Embolization Combined with Hysteroscopy in the Treatment of Cesarean Scar Pregnancy

Abstract

Objective To study the effect of uterine artery embolization (UAE) and
methotrexate (MTX) combined with hysteroscopy in the treatment of cesarean scar
pregnancy(CSP). Methods:82 cases of cesarean scar pregnancy in the China-Japan Union
Hospital of Jilin University were retrospectively studied between January, 2010 and January,
2016.They were divided into the two groups on the treatment method. The group A was
offered prophylactic uterine artery embolization (UAE) and methotrexate (MTX) prior to
uterine curettage with hysteroscopy method. The group B was treated with mifepristone prior to uterine curettage with hysteroscopy as routine therapy. The effect of the two groups after treatment was analyzed and compared. Results: The blood loss of the group A (27.42 ± 15.31)mL was significantly lower than that of the group B, P<0.05.The total effective rate of the group A was 97.24%,which was significantly higher than that of the group B of 69.86%, P <0.05. The bleeding days in the group A were significantly shorter than those in the group B, P <0.05. The surgical time of group A was significantly shorter than the group B. Conclusion: Uterine artery embolization combined with hysteroscopy in the treatment of cesarean scar pregnancy can significantly improve the bleeding situation and prognosis.