Objective  To investigate the safety and effectiveness of two surgical methods in treating cesarean scar pregnancy(CSP). Methods  From February 2010 to May 2013,36 patients with CSP treated in the gynaecology and obstetrics department of the First affiliated hospital of guangxi medical university were analyzed retrospectively. 20 patients undergoing laparoscopic surgery were assigned to the research group, while 16 patients undergoing transvaginal cesarean scar pregnancy debridement surgery were assigned to the control group. The following clinical parameters were compared,including intraoperative blood loss,the time for operation,post-operation anus ventilate,hospital and recovery of blood HCG levels. Results  Surgery was successfully completed in all 36 cases without serious intraoperative and postoperative complications. Significant differences were found in intraoperative blood loss,operation time and hospital time (P < 0. 05), while there were no significant differences in the time of the serum level of βhCG needed to return to normal level and anus ventilate(P > 0. 05). Conclusion  Laparoscopic surgery in treating with CSP offers the advantages of safety,minimally invasiveness,prompt recover,good effects,and the conservation of the fertility potential,worthy promotion.

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