Clinical efficacy analysis of different therapeutic methods in patients with cesarean scar pregnancy
Abstract Background Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy with a serious life-threatening situation. The purpose of this study is to analyze the clinical efficacy of five therapeutic strategies in patients with CSP. Methods A total of 135 CSP patients were included in our research and divided into five groups based on the treatment they received, including transvaginal resection (Group A), laparoscopic resection (Group B), uterine arterial embolization (UAE) combined with hysteroscopic curettage (Group C), UAE combined with uterine curettage (Group D), and hysteroscopic curettage (Group E). To investigate the clinical efficacy of these strategies, intraoperative bleeding, serum β-hCG levels and recovery time, menstruation recovery time, hormone levels at 1 month after treatment, hospital stays and costs were analyzed. Results The lowest postoperative serum β-hCG levels and the shortest serum β-hCG and menstruation recovery times were observed in group A, the next were in group B. Group C and D had small amount of blood loss. The hospital stays and costs were low in group E. In addition, no significant difference was performed at the sex hormone levels between the five groups. Conclusions Our results indicated that resection surgery and UAE have good curative effects, but high hospital costs in CSP treatment. The selection of an optimal treatment regimen for CSP should be carried out based on specific conditions of the patients.