Management of type II unruptured cesarean scar pregnancy: Comparison of gestational mass excision and uterine artery embolization combined with XXXX .

@entity6822 @entity1 @entity1499 @entity190
OBJECTIVE: This research was carried out to investigate the effectiveness, rationality, and safety of laparotomy management compared with uterine artery embolization (UAE) combined with @entity1499 ( @entity6822 ) for the treatment of deep implantation cesarean scar pregnancy (CSP II). MATERIALS AND METHODS: Data from 29 @entity1 seen between June 2008 and February 2012 were retrospectively analyzed. The @entity1 were divided into the surgery group and the UAE combined with @entity6822 group according to the treatment they received. We compared the clinical characteristics and treatment outcomes between the two groups. RESULTS: The @entity1 ' clinical characteristics did not differ between the surgery group and the UAE combined with @entity6822 group. However, the mean @entity190 was decreased in the surgery group compared with the UAE combined with @entity6822 group (90      4.5  mL vs. 286      5.2  mL, p  <  0.05). No @entity1 required blood transfusion in the surgery group, whereas two @entity1 in the UAE combined with @entity6822 group received blood transfusions. The length of time for the serum beta @entity1 chorionic gonadotropin (b-HCG) level to normalize, the time required for the disappearance of the gestational mass, and the duration of hospital stay were significantly less in the surgery group than in the UAE combined with @entity6822 group (13.7      1.0 days vs. 40.7      1.7 days, 7.1      1.3 days vs. 135.4      6.7 days, and 11.0      1.2 days vs. 41.4      3.2 days, respectively; p  <  0.01). Although the treatment success rate did not differ significantly between the two groups, the success rate was 100% for the surgery group and 73% for the UAE combined with @entity6822 group. CONCLUSION: Surgical treatment can remove gestational masses and allow wound repair. Moreover, laparotomy  is available in almost all hospitals. Thus, surgery can be an effective and reasonable treatment for CSP II.
