An analysis of uterine artery embolization combined with methotrexate in the treatment of cesarean scar pregnancy for 31 cases
- VernacularTitle:31例介入合并甲氨蝶呤治疗子宫瘢痕妊娠的分析
- Author:
Yan MA
;
Yuqing SUN
;
Yu LIU
- Publication Type:Journal Article
- Keywords:
cesarean scar pregnancy;
interventional treatment;
methotrexate;
uterine arterial embolization
- From:
Acta Universitatis Medicinalis Anhui
2014;(1):125-126,127
- CountryChina
- Language:Chinese
-
Abstract:
31 patients from Anhui province maternal and child health care with cesarean scar pregnancy ( CSP ) treated with UAE ( before or after uterine curettage) were analyzed retrospectively. 12 subjects with a definite diag-nosis of CSP were offered preventive UAE. 1 case of an emergency rupture of the CSP patient was offered emergen-cy interventional therapy. The other eight patients,who were misdiagnosed as having an intrauterine pregnancy,with the symptoms of active vaginal bleeding were treated with emergency UAE after uterine curettage. The results showed all the 31 patients with CSP were resolved successfully without hysterectomy and had a significant decrease on the data ofβ-HCG. 24 patients received preventive UAE combined with methotrexate followed by uterine curet-tage. 3 patients received a excision of the scar in the uterus after UAE. 4 patients had a UAE combined with conser-vative medication. Results showed that UAE might be an effective means of treating CSP, including treatment in an emergency setting. It decreases the incidence rate of hysterectomy.
