Clinical value of uterine artery embolization on the treatment of 112 cases cesarean scar pregnancy
10.3760/cma.j.issn.1008-6315.2013.09.037
- VernacularTitle:子宫动脉栓塞术治疗剖宫产术后子宫瘢痕妊娠112例临床分析
- Author:
Haibin HE
;
Yan HU
;
Bengui JIANG
- Publication Type:Journal Article
- Keywords:
Cesarean;
Uterine scar pregnancy;
Uterine artery embolization;
Curettage;
Hysteroscopy
- From:Clinical Medicine of China
2013;29(9):997-1000
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of uterine artery embolization on the treatment of cesarean scar pregnancy(CSP).Methods Clinical data of 112 cases of CSP patient underwent uterine artery embolization in Ningbo Women and Children's Hospital from January to December 2012 were enrolled for retrospectively analysis.Results All 112 patients underwent transvaginal ultrasound examination before admitted to hospital and among them 101 cases were diagnosed as CSP and 11 cases were suspected of CSP.Ninety-four cases were checked by magnetic resonance imaging (MRI) to measure the muscular thickness of uterine scar and the size of pregnant bursa.All patients received bilateral uterine artery embolization successfully,50-100 mg Methotrexat (MTX) were injected into uterine artery during this procedure.After uterine artery embolization,95 cases received curettage under ultrasound guidance,while 17 cases received curettage under hysteroscopy.All patients recovered as schedule.During the follow-up,no serious complication was found.Conclusion The use of uterine artery embolization in the treatment of CSP is safe and effective,and it can preserve patients' fertile ability.It is worthy recommended in the clinical application.
