经子宫动脉介入治疗剖宫产瘢痕妊娠19例临床分析

Uterine artery interventional embolization in treatment of cesarean scar pregnancy: a report of 19 cases

目的探讨经子宫动脉介入化疗栓塞对子宫瘢痕妊娠（CSP）治疗的有效性。方法回顾性分析2002—08-2013—08经子宫动脉介入化疗栓塞治疗的19例CSP患者的临床资料。结果19例子宫瘢痕妊娠患者经子宫动脉介入化疗栓塞后均于48h后清宫，无一例发生大出血，仅1例因子宫瘢痕太薄约1mm而清宫时穿孔，经对症处理痊愈，未行开腹手术。结论经子宫动脉介入化疗栓塞有效地控制了直接清宫引起的子宫大出血，是一种安全有效的治疗子宫瘢痕妊娠的方法。

Objective To explore the clinical efficiency of the uterine artery interventional embolization in treatment of cesarean scar pregnancy （CSP）. Methods The clinical data of 19 cases of CSP treated by the uterine artery interventional embolization from August 2002 to August 2013 in Zhengzhou Hospital of Traditional Chinese Medicine were analyzed retrospectively. Results Nineteen pa- tients with CSP received curettage 48 h after uterine artery interventional embolization, and no bleeding occurred. Only one case had u- terine scar perforated due to its thinness of about 1 mm,and recovered after the symptomatic treatment. Conclusion The uterine ar- tery interventional embolization effectively controls the uterine bleeding caused by direct curettage, and could be a safe and effective method for CSP.