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| Comparison of Laparoscopic Uterine Artery Ligation and Uterine Artery Embolization in the Treatment of Caesarean Scar Pregnancy |
| ZENG Kefei, XIA Tingting |
| Affiliated Hospital of Jinggangshan University, Ji'an 343000, China |
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Abstract Objective: To compare the effects of laparoscopic uterine artery ligation and uterine artery embolization (UAE) on the operation indexes and ovarian function of patients with caesarean scar pregnancy (CSP). Method: A total of 52 patients with CSP who visited the Department of Gynecology, Affiliated Hospital of Jinggangshan University from March 2021 to March 2022 were selected and divided into group A and group B by simple random method, with 26 cases in each group. Group A was treated with laparoscopic uterine artery ligation combined with curettage, and group B was treated with UAE combined with curettage. The operation indexes (operation time, intraoperative bleeding volume, menstrual regain time, hospitalization expenses, postoperative hospitalization time) were compared between the two groups. The levels of ovarian function [antral follicle count (AFC), estradiol (E2), anti-Müllerian hormone (AMH)], gonadotropin [human chorionic gonadotropin (β-hCG), lutropin (LH) and follicle stimulating hormone (FSH)] were compared between the two groups before operation and 1 month and 3 months after operation, and the incidence of postoperative complications between the two groups was counted. Result: The operation time and hospitalization expenses in group A were significantly better than those in group B (P<0.05). There were significant differences in other operation indexes, ovarian function, gonadotropin level and postoperative complications between the two groups (P>0.05). Conclusion: Laparoscopic uterine artery ligation or UAE followed by curettage for CSP patients can effectively restore ovarian function and gonadotropin levels, and has good safety. However, laparoscopic uterine artery ligation can shorten the operation time of patients, reduce hospitalization expenses, and is more economical and safe.
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Received: 08 October 2022
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