子宫动脉栓塞术在子宫疤痕部位妊娠的应用

Application of uterine artery embolization in the treatment of cesarean scar pregnancy

目的探讨子宫动脉栓塞术在治疗子宫疤痕部位妊娠的应用价值。方法回顾性分析16例剖宫产术后子宫疤痕部位妊娠患者的临床资料。有7例在行双侧子宫动脉栓塞术后4-5 d再行清宫术;9例直接行清宫术或剖腹探查术。结果7例行双侧子宫动脉栓塞术患者手术均一次成功,术中术后出血少,恢复快;9例行清宫术或剖腹探查术,术中术后出血多,恢复慢。结论子宫疤痕部位妊娠患者经子宫动脉栓塞术预处理后,手术的出血及风险可明显减少,成功率高。

Objective To explore the value of the uterine artery embolization in the treatment of cesarean scar pregnancy. Methods Clinical datas of 16 cases with cesarean scar pregnancy were retrospectively analyed. There were 7 cases underwent dilatation and curettage 4 -5 d after uterine artery embolization, while 9 cases performed one of the two operations directly. Results The 7 patients of 16 who had undergone dilatation and curettage after uterine artery embolization were succeed with little haemorrhage and recovered quickly. While the other 9 cases occurred massive haemorrhage and recovered slowly. Conclusion The beforehand treatment of uterine artery embolization for cesarean scar pregnancy can reduce the haemorrhage and the risk, which can be safe and effect.