Clinical Assessment of Ultrasound-Guided Local Lauromacrogol Injection
Combined with Curettage and Hysteroscopy for Cesarean Scar Pregnancy
Objective To evaluate the efficacy, safeness and cost of
ultrasound-guided local lauromacrogol injection(USG-LLI) combined with
curettage and hysteroscopy for cesarean scar pregnancy(CSP) . Design A
retrospective analysis. Setting Gynaecological department in 3 hospitals
in China. Population Patients with stable cesarean scar pregnancy(CSP) .
Main outcome measures Efficacy and cost difference between patients with
CSP pretreated by different methods combined with curettage and
hysteroscopy. Methods From June 2018 to December 2019 and included 151
CSP patients were diagnosed with CSP, and treated by USG-LLI or uterine
artery embolization (UAE) combined with curettage and hysteroscopy.
Clinical data and outcome were analysed. Results There were no
significant differences in basic clinical characteristics in the two
groups. The success rates of the two groups were similar, while the
complication rates (5.81%, 24.62%) of USG-LLI group and UAE group were
different significantly. The total cost between the two groups and found
a statistical difference between the two groups, which was higher in the
UAE group (P < 0.05). The non-medication cost and direct
medical cost of the UAE group were higher than those in USG-LLI group (P
< 0.05) . Conclusions The method of USG-LLI combined curettage
and hysteroscopy was minimally invasion and efficiency for CSP, compared
with curettage after UAE. USG-LLI resulted in lower complication rate
and little expense.