Clinical Effect of Uterine Artery Embolization Combined with Curettage in the Treatment of Cesarean Scar Pregnancy

Abstract

Objective: To observe the clinical effect of uterine artery embolization combined with curettage in the treatment of cesarean scar pregnancy (CSP).

Methodology: This was a retrospective study. The subjects of study were 100 patients with CSP from Baoding No.1 Central Hospital between December 2022 to December 2024. Included patients were randomly divided into two groups, with 50 cases in each group. Patients in the study group received uterine artery embolization combined with curettage, while those in the control group were given routine ultrasound-guided curettage. Furthermore, this study observed the therapeutic effect of the two groups of patients; and compared intraoperative bleeding volume, length of stay in the hospital, β-hcG recovery time, and vaginal bleeding time; pre- and post-treatment levels of stress indicators such as adrenocorticotropic hormone (ACTH), cortisol (Cor), and aldosterone (ALD); pre- and post-treatment scores of anxiety and depression, and the incidence of complications between groups.

Results: The clinical response rate of the study group and the control group was 100% and 90%, respectively (p=0.02). The length of stay in the hospital, β-hcG recovery time and vaginal bleeding time were significantly shorter, while the intraoperative bleeding volume was significantly lower in the study group than those of the control group (all p=0.00). Post-treatment ACTH, Cor and ALD levels in the study group were lower than those in the control group (all p=0.00). Moreover, post-treatment SAS and SDS scores of the study group were significantly reduced compared to those of the control group (both p=0.00). 

Conclusion: Uterine artery embolization combined with curettage is a safe and effective therapeutic approach for the treatment of CSP.