子宫动脉栓塞术治疗剖宫产后子宫瘢痕部位妊娠46例临床疗效分析

Clinical Analysis of 46 Cases of Uterine Arterial Embolization in Treatment of Cesarean Scar Pregnancy

目的:探讨子宫动脉栓塞术治疗剖宫产后子宫瘢痕部位妊娠的价值。方法:对四川大学华西第二医院2008年3月至2010年3月剖宫产后子宫瘢痕部位妊娠行双侧子宫动脉栓塞治疗的46例患者的临床资料进行回顾性分析。结果:45例治疗有效,有效率97.8%(45/46)。36例患者介入治疗后行清宫术,35例术中和术后均无大出血,1例患者在栓塞治疗后22天因大出血切除子宫;另10例未行清宫术。所有患者血β-HCG平均1月降至正常,同时超声检查也恢复正常。术后并发症主要为发热(19例)和局部疼痛(41例)。结论:子宫动脉栓塞术是一种安全、有效治疗剖宫产后子宫瘢痕部位妊娠的方法。

Objectives：To investigate the clinical value of uterine arterial embolization（UAE） in treatment of cesarean scar pregnancy（CSP）.Methods：46 cases of CSP treated by UAE were retrospectively enrolled in this study from Mar 2008 to Mar 2010 in Sichuan University Huaxi Second hospital.Results：UAE was effective in 45 patients,the total cure rate was 97.8%.After UAE,36 patients had curettage and suction after UAE,35 patients were no event after operation,only one patient had hysterectomy on the 22 day after UAE for massive vaginal bleeding.The other 10 patients did not receive further treatment.The serum β-HCG level dropped to normal about one month after UAE,also sonography showed normal pelvis.The common complications were fever（19 patients） and pain（41 patients）.Conclusions：The uterine arterial embolization is a safe and effective method to treat CSP.