子宫动脉栓塞术对预防切口妊娠清宫后出血的临床价值

Clinical Value of Uterine Artery Embolization in Preventing Bleeding after Curettage of Pregnancy at Uterine Incision

目的：探讨子宫动脉栓塞术对预防切口妊娠清宫后出血的临床疗效。方法352例切口妊娠患者分为实验组与对照组（各176例），实验组采用子宫动脉栓塞术，术后行清宫术，对照组不采用子宫动脉栓塞行清宫术，对两组患者在清宫术中、术后的出血量进行比较。结果实验组患者清宫术中、术后出血量为10~70ml，无大出血情况发生，对照组患者清宫术中、术后出血量为30~1800ml，出血量明显多于实验组。结论清宫术前行子宫动脉栓塞术对预防切口妊娠清宫术后大出血有良好的效果，并发症少，安全可靠。

Objective To discuss the clinical effect of uterine artery embolization in preventing bleeding after curettage of pregnan-cy at uterine incision. Methods 352 cases of pregnancy at uterine incision were divided into 2 groups： experiment group and control group, 176 in each;cases in experiment group received uterine artery embolization first and then curettage while cases in control group received curettage only;the bleeding volumes of the cases in the 2 groups in and after curettage were compared. Results The bleeding volume of the cases in experiment group in and after curettage was from 10ml to 70ml with no occurrence of massive hemorrhage while the bleeding volume of the cases in control group was from 30ml to 1800ml, which was much bigger than that of the cases in experiment group. Conclusions Uterine artery embolization before curettage is of good effect, less side effects and reliable safety in preventing bleeding after curettage of pregnancy at uterine incision.