子宫动脉栓塞术治疗子宫瘢痕妊娠的疗效及对卵巢功能的影响

The efficacy and influence of ovarian function after uterine artery embolization for uterine scar pregnancy

目的：探讨子宫动脉栓塞术（uterine artery embolization，UAE）治疗子宫瘢痕妊娠（cesarean scar pregnancy，CSP）的疗效及其对卵巢功能的影响。方法2007年6月至2012年3月佛山妇幼保健院共收治CSP患者62例接受UAE治疗，术后对患者进行随访，记录患者月经恢复情况，并对有生育要求的患者进行排卵监测评估卵巢功能情况及再次妊娠情况。结果（1） UAE治疗CSP的有效率为96.77%；（2）UAE治疗前后月经周期（30.0±4.0）d和（29.0±3.0）d、经期（5.0±2.0）d和（4.0±3.0）d及经量100%和90%无明显变化（P>0.05）；（3）有生育要求的23例患者于UAE治疗后2~5个月恢复排卵；（4）有生育要求的23例患者中有7例于术后8~12个月成功自然妊娠。结论 UAE治疗对CSP有较好疗效的同时不影响月经情况，并且对卵巢功能影响小，利于再次妊娠。

Objective To investigate the efficacy and influence of ovarian function after uterine arteryembolization for uterine scar pregnancy. Methods 62 patients were treated by UAE in Maternal and ChildHospital of Foshan City from June 2007 to March 2012. The recovery of menstrual, ovarian function of allpatients and the pregnancy of the patients who had fertility requirements were recorded after UAE byfollow-up. Results 1.The effective rate is 96.77%. 2.There are no significant difference of the menstrualcycle(30.0±4.0)d vs(29.0±3.0)d, menstruation(5.0±2.0)d vs(4.0±3.0)d and menstrual volume(100%vs 90%)before and after UAE(P>0.05). 3. Ovulation was resumed after 2~5 monthes in 23 patients who hadfertility requirements(P>0.05). 4. There are 7 patients were pregnant in 23 patients who had fertilityrequirement. Conclusions Uterine artery embolization is effective. It can preserve the ovarian function andbeneficial for pregnancy