{
    "abstract": "Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy. Lack of timely CSP treatment can lead to severe postpartum bleeding, affect fertility, and threaten patients' life and health.\nThis work explored the use of laparoscopic temporary uterine artery blocking (TUAB) and uterine artery embolization (UAE) in treating CSP.\nFor the purpose of the study, 60 patients with CSP were selected and equally divided into the UAE group and the TUAB group. Both groups underwent cesarean scar lesion repair (CSLR) after the procedure. The differences in surgical outcomes, \u03b2\u2011human chorionic gonadotropin (\u03b2\u2011HCG) levels, ovarian reserve, endocrine function indicators, as well as the incidence of complications were compared between the groups.\nThe TUAB group presented a shorter length of hospital stay, shorter vaginal bleeding time, shorter menstrual recovery time, and shorter mass disappearance time than the UAE group (all P <0.05). The patients in the TUAB group had lower \u03b2\u2011HCG, estradiol, and progesterone levels, and higher levels of luteinizing hormone and follicle\u2011stimulating hormone (all P <0.05). Furthermore, the TUAB patients had a larger mean ovary diameter, an increased antral follicle count, and an elevated level of anti\u2011M\u00fcllerian hormone, as compared with the individuals treated with UAE (all P <0.05). The total incidence of complications in the UAE and TUAB groups was 23.33% (7/30) and 6.67% (2/30), respectively (P <0.05).\nLaparoscopic TUAB for CSLR proved to be a more effective and safer CSP treatment method than UAE.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynecology, Affiliated Hospital of Jinggangshan University, Ji'an, Jiangxi Province, China.",
            "firstname": "Kefei",
            "initials": "K",
            "lastname": "Zeng"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Affiliated Hospital of Jinggangshan University, Ji'an, Jiangxi Province, China.",
            "firstname": "Xianghua",
            "initials": "X",
            "lastname": "Lei"
        },
        {
            "affiliation": "Department of Reproductive Medicine, Affiliated Hospital of Jinggangshan University, Ji'an, Jiangxi Province, China.",
            "firstname": "Tingting",
            "initials": "T",
            "lastname": "Xia"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2025 Medycyna Praktyczna.",
    "doi": "10.20452/wiitm.2024.17890",
    "journal": "Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques",
    "keywords": [
        "cesarean scar pregnancy",
        "cesarean section",
        "temporary uterine artery blocking",
        "uterine artery embolization"
    ],
    "methods": null,
    "publication_date": "2025-03-05",
    "pubmed_id": "40041110\n31677755\n33484933\n31659344\n30102898\n35016136\n29666002\n34943587\n35187063\n35422906\n33612267\n32419158\n32202174\n36167883\n31307733\n32273628\n34289934\n35127758\n34147194\n32603870\n30572017\n37023450\n32080998\n35818247\n31699720\n36482765\n32028071\n35662819\n31304853\n34547960\n35100616\n28742995\n29807224\n37680737",
    "results": null,
    "title": "Temporary uterine artery blocking and uterine artery embolization in treating cesarean scar pregnancy.",
    "xml": "<Element 'PubmedArticle' at 0x78850543a660>"
}