Necessity of prophylactic uterine artery embolization before curettage in treatment of cesarean scar pregnancy
10.13929/j.1672-8475.201706015
- VernacularTitle:刮宫术前行预防性子宫动脉栓塞治疗瘢痕妊娠的必要性
- Author:
Liangliang BAI
1
;
Tiantian LI
;
Zongming LI
;
Jianhao ZHANG
;
Naichun ZHOU
;
Zihe ZHOU
;
Wenjun ZHANG
;
Hao LI
;
Xinwei HAN
Author Information
1. 郑州大学第一附属医院介入放射科
- Keywords:
Pregnancy,ectopic;
Uterine artery embolization;
Dilatation and curettage;
Hemorrhage
- From:
Chinese Journal of Interventional Imaging and Therapy
2018;15(1):47-50
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the necessity of prophylactic uterine artery embolization (UAE) before curettage in treatment of cesarean scar pregnancy (CSP).Methods A total of 142 patients with CSP were enrolled and divided into 3 groups according to Adler grading standard,including little vascularity (grade 0-Ⅰ,n=40),moderate vascularity (grade Ⅱ,n=41) and rich vascularity groups (grade Ⅲ,n=61).All patients were treated with curettage or prophylactic UAE before curettage.The differences of age,times of cesarean section,time to last cesarean section,intraoperative blood loss and success rate of therapy were compared between different treatment methods in each group.Results There was no statistical difference of age,times of cesarean section,time to last cesarean section,intraoperative blood loss and success rate of therapy between curettage and prophylactic UAE before curettage in little vascularity group and moderate vascularity group (all P＞0.05).Compared with curettage,the success rate of prophylactic UAE before curettage was higher and the intraoperative blood loss was lower in rich vascularity group (both P＜0.05).There was no statistical difference of age,times of cesarean section nor time to last cesarean section in rich vascularity group (all P＞0.05).Conclusion It is necessary to perform prophylactic UAE before curettage for cesarean scar pregnancy patient with rich vascularity,which is helpful to reduction of intraoperative blood loss.
