Application Value of Uterine Compression Suture through Laparoscopy in Treating Cesarean Scar Pregnancy_West China Medical Journal

Authors：

 NieXiaocheng

Department of Gynecology and Obstetrics, Sichuan Provincial Hospital for Womenn and Children, Chengdu, Sichuan 610045, P. R. China;

Corresponding author：

Keywords：

Laparoscopy; Uterine compression suture; Cesarean scar pregnancy; Application value

DOI：

10.7507/1002-0179.201600286

Video：

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Objective To investigate the value of uterine compression suture through laparoscopy in the treatment of cesarean scar pregnancy (CSP). Methods A random controlled study was conducted on 85 CSP patients diagnosed between September 2013 and December 2014. The patients were randomly divided into control group (n=43) and study group (n=42). The control group received routine evacuation under laparoscopy, while the study group received routine evaluation under laparoscopy combined with uterine compression suture. The efficacy of the two treatments were compared and analyzed. Results The operation time of the control group and the study group was (36.6±17.7) and (45.6±14.8) minutes, respectively. Total amount of bleeding during and after the operation was (207.9±165.8) and (96.1±29.0) mL for the two groups of patients, and the above differences were statistically significant (P＜0.05). There was no significant difference in the indicators of anal exhaust time, hospitalization stay, blood β-human chorionic gonadotrophin clearance time, and menstruation recovery time between the two groups (P>0.05). Conclusion Uterine compression suture through laparoscopy is a safe and reliable method to reduce the bleeding of CSP, which is easy to perform and worthy of promotion.

Citation： NieXiaocheng. Application Value of Uterine Compression Suture through Laparoscopy in Treating Cesarean Scar Pregnancy. West China Medical Journal, 2016, 31(6): 1065-1068. doi: 10.7507/1002-0179.201600286 Copy

1.	Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management[J]. Obstet Gynecol, 2006, 107(6): 1373-1381.
2.	武欣, 何以丰, 吴学浙, 等. 剖宫产切口瘢痕妊娠(CSP)子宫动脉栓塞(UAE)后宫腹腔镜联合手术和刮宫术的比较[J]. 复旦学报: 医学版, 2013, 40(4): 447-453.
3.	Ash A, Smith A, Maxwell D. Caesarean scar pregnancy[J]. BJOG, 2007, 114(3): 253-263.
4.	Kirk E, Bourne T. Diagnosis of ectopic pregnancy with ultrasound[J]. Best Pract Res Clin Obstet Gynaecol, 2009, 23(4): 501-508.
5.	Uysal F, Uysal A, Adam G, et al. Cesarean scar pregnancy: diagnosis, management, and follow-up[J]. J Ultrasound Med, 2013, 32(7): 1295-1300.
6.	陈诚, 常青. 子宫体部手术后不良瘢痕形成的预防措施研究进展[J]. 重庆医学, 2013, 42(12): 1419.
7.	El-Mazny A, Abou-Salem N, EI-Khayat W, et al. Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section[J]. Middle East Fertil Soc J, 2011, 16(1): 72-76.
8.	陈鹤立, 王沂峰. 子宫切口瘢痕妊娠的诊治进展[J]. 广东医学, 2012, 33(22): 3499.
9.	罗群英. 高强度聚焦超声治疗子宫切口妊娠临床疗效分析[J]. 数理医药学杂志, 2015, 28(2): 202-203.
10.	Lee CL, Wang CJ, Chao A, et al. Laparoscopic management of an ectopic pregnancy in a previous caesarean section scar[J]. Hum Reprod, 1999, 14(5): 1234-1236.
11.	程春霞, 薛敏. 宫、腹腔镜联合治愈剖宫产子宫切口部位妊娠一例[J]. 实用妇产科杂志, 2002(18): 373.
12.	Blynch C, Coker AH. The blynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported[J]. Br J Obstet Gynaecol, 1997, 104(3): 372-375.
13.	佟珊. 子宫加压缝合法治疗子宫收缩乏力性产后出血的疗效观察[J]. 中国医药指南, 2015, 13(3): 179.
14.	苏站勤, 高雪梅. 剖宫产瘢痕妊娠研究现状及治疗进展[J]. 中国妇产科临床杂志, 2012, 13(6): 467-470.
15.	Halperin R, Schneider D, Mendlovic S. Uterine-preserving emergency surgery for cesarean scar pregnancies: another medical solution to an iatrogenic proble[J]. Fertil Steril, 2009, 91(6): 2623-2627.
16.	吴晓兰, 刘帅. 腹腔镜子宫动脉结扎术在宫颈或瘢痕切口妊娠治疗中的应用[J]. 国际生殖健康/计划生育杂志, 2011, 30(6): 438-439.
17.	Raba G. Effect of internal iliac artery ligation on ovarian blood supply and ovarian reserve[J]. Climacteric, 2011, 14(1): 54-57.
18.	欧阳栋, 朱斌, 何晓音. 子宫动脉栓塞术治疗剖宫产后切口妊娠26 例临床分析[J]. 中国内镜杂志, 2013, 19(6): 631-635.
19.	陈玉清, 常亚杰, 冯丽萍. 子宫切口瘢痕妊娠治疗策略分析[J]. 实用医学杂志, 2010, 26(18): 3383-3385.

1. Rotas MA, Haberman S, Levgur M. Cesarean scar ectopic pregnancies: etiology, diagnosis, and management[J]. Obstet Gynecol, 2006, 107(6): 1373-1381.
2. 武欣, 何以丰, 吴学浙, 等. 剖宫产切口瘢痕妊娠(CSP)子宫动脉栓塞(UAE)后宫腹腔镜联合手术和刮宫术的比较[J]. 复旦学报: 医学版, 2013, 40(4): 447-453.
3. Ash A, Smith A, Maxwell D. Caesarean scar pregnancy[J]. BJOG, 2007, 114(3): 253-263.
4. Kirk E, Bourne T. Diagnosis of ectopic pregnancy with ultrasound[J]. Best Pract Res Clin Obstet Gynaecol, 2009, 23(4): 501-508.
5. Uysal F, Uysal A, Adam G, et al. Cesarean scar pregnancy: diagnosis, management, and follow-up[J]. J Ultrasound Med, 2013, 32(7): 1295-1300.
6. 陈诚, 常青. 子宫体部手术后不良瘢痕形成的预防措施研究进展[J]. 重庆医学, 2013, 42(12): 1419.
7. El-Mazny A, Abou-Salem N, EI-Khayat W, et al. Diagnostic correlation between sonohysterography and hysteroscopy in the assessment of uterine cavity after cesarean section[J]. Middle East Fertil Soc J, 2011, 16(1): 72-76.
8. 陈鹤立, 王沂峰. 子宫切口瘢痕妊娠的诊治进展[J]. 广东医学, 2012, 33(22): 3499.
9. 罗群英. 高强度聚焦超声治疗子宫切口妊娠临床疗效分析[J]. 数理医药学杂志, 2015, 28(2): 202-203.
10. Lee CL, Wang CJ, Chao A, et al. Laparoscopic management of an ectopic pregnancy in a previous caesarean section scar[J]. Hum Reprod, 1999, 14(5): 1234-1236.
11. 程春霞, 薛敏. 宫、腹腔镜联合治愈剖宫产子宫切口部位妊娠一例[J]. 实用妇产科杂志, 2002(18): 373.
12. Blynch C, Coker AH. The blynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported[J]. Br J Obstet Gynaecol, 1997, 104(3): 372-375.
13. 佟珊. 子宫加压缝合法治疗子宫收缩乏力性产后出血的疗效观察[J]. 中国医药指南, 2015, 13(3): 179.
14. 苏站勤, 高雪梅. 剖宫产瘢痕妊娠研究现状及治疗进展[J]. 中国妇产科临床杂志, 2012, 13(6): 467-470.
15. Halperin R, Schneider D, Mendlovic S. Uterine-preserving emergency surgery for cesarean scar pregnancies: another medical solution to an iatrogenic proble[J]. Fertil Steril, 2009, 91(6): 2623-2627.
16. 吴晓兰, 刘帅. 腹腔镜子宫动脉结扎术在宫颈或瘢痕切口妊娠治疗中的应用[J]. 国际生殖健康/计划生育杂志, 2011, 30(6): 438-439.
17. Raba G. Effect of internal iliac artery ligation on ovarian blood supply and ovarian reserve[J]. Climacteric, 2011, 14(1): 54-57.
18. 欧阳栋, 朱斌, 何晓音. 子宫动脉栓塞术治疗剖宫产后切口妊娠26 例临床分析[J]. 中国内镜杂志, 2013, 19(6): 631-635.
19. 陈玉清, 常亚杰, 冯丽萍. 子宫切口瘢痕妊娠治疗策略分析[J]. 实用医学杂志, 2010, 26(18): 3383-3385.

West China Medical Journal

Application Value of Uterine Compression Suture through Laparoscopy in Treating Cesarean Scar Pregnancy

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