子宫动脉栓塞术在子宫瘢痕妊娠治疗中的利弊

The Advantages and Disadvantages of Uterine Artery Embolization in the Treatment of Uterine Scar Pregnancy

子宫瘢痕妊娠是指既往有剖宫产史或宫腔操作史的女性,再次妊娠时胚胎组织种植于子宫瘢痕处,发病率呈逐年升高的趋势,对母婴两者的危害程度相对较高。随着子宫动脉栓塞术(uterine artery embolism,UAE)在治疗子宫瘢痕妊娠方面的广泛应用,展现出减少出血、保留子宫、降低死亡率等显著优势的同时,逐渐显露出一些严重不良的并发症,如疼痛、闭经、宫腔粘连和生殖功能降低等。目前的治疗效果仍不理想,通过阐明UAE在子宫瘢痕妊娠治疗过程中的利弊,以期通过改善UAE技术达到更好的治疗效果。

Uterine scar pregnancy refers to a woman who has a previous history of cesarean section or uterine cavity operation. During the post-operative pregnancy, the embryo tissue is implanted in the scar of the uterus. The incidence of scar pregnancy increased year by year and the degree of harm to mother and baby was relatively high. With the wide application of uterine artery embolization (UAE) in the treatment of uterine scar pregnancy, it has shown significant advantages in reducing bleeding, retaining the uterus and reducing the death rate. But at the same time, some serious adverse complications, such as pain, amenorrhea, intrauterine adhesion and reduced reproductive function, have been gradually revealed. Currently, the therapeutic effect is still not ideal. By elucidation of the advantages and disadvantages of UAE in the treatment of uterine scar pregnancy, the better therapeutic effect can be achieved by improving the technique of UAE.