子宫动脉栓塞术在终止切口妊娠中的作用

The Effect of Uterine Artery Embolization before Uterine Curetlage for Incision Area Pregnancy

目的评估子宫动脉栓塞术在终止切口妊娠中的作用。方法 2004年4月～2010年10月在我院行刮宫术的切口妊娠患者中,筛选术前行子宫动脉栓塞术和未行子宫动脉栓塞术患者各12例。结果栓塞组患者刮宫术术中出血量(25.0±11.3)ml,明显低于未栓塞组(190.0±229.1)ml(P<0.01);栓塞组未出现大出血病例而未栓塞组发生2例(16.7%);术后并发症发生率,栓塞组16.7%(2/12),未栓塞组25.0%(3/12),两组比较均无统计学差异(P>0.05)。结论子宫动脉栓塞应用于刮宫术治疗切口妊娠患者,可明显减少术中出血量,是安全有益的。

Objective To analyze the effect of uterine artery embolization before uterine curetlage for incision area pregnancy. Method There were 12 cases for emolization group who endured uterine embolization before uterine curetlage whereas 12 cases for un-embolization group who didn＇t endure the uterine embolization before uterine curetlage. Results The amount of bleeding in uterine curetlage in embolization group was （ 25.0 ± 11.3 ） ml, which was lower than （ 190.0 ±229.1 ） ml of the un-emolization group （ P 〈 0.01 ）. There was no massive baemorrhage happened in embolization group and 2 （ 16.7% ） happened in un-embolization group. The rate of postoperative complications was 16.7% （2/12） in the embolizatian group and 25.0% （3/12） in the un-embolization group. There was no statistic difference in hemorrhea rate and postoperative complication rate between two groups （ P 〉 0.05 ）. Conclusion The uterine embolization plays an important role in the uterine curetlage to cure the incision area pregnant.