International Journal of Obstetrics and Gynecology

Objective To evaluate the efficacy of laparoscopically monitored curettage in the treatment of type I and type II cesarean scar pregnancy. Methods 110 cases of type I and type II cesarean scar pregnancy (including 34 cases of type I and 76 cases of type II) admitted to our hospital from July 2019 to September 2020 were retrospectively classified, and all of them were treated with laparoscopically monitored uterine clearance. Results The success rate of type I CSP patients in this study was 94.1%, and that of type II CSP patients was 100%. There were no serious complications. There was a statistically significant difference in the amount of intraoperative bleeding between type II CSP patients and type I CSP patients (P=0.028), but there was no statistically significant difference in the length of hospital stay, operation time and hospital expenses (P>0.05). Conclusion Laparoscopic curettage for type I CSP patients is relatively safe with fewer complications; The success rate of laparoscopic curettage for patients with type II CSP is guaranteed to some extent, because the condition of previous scar lesions in the uterus can be judged again during the operation, and it is convenient for emergency treatment in the case of massive bleeding in the scar lesions of the uterus.

Cesarean section; Uterine cicatricial pregnancy; Laparoscopy; Removal of pregnancy lesions