Department of Obstetrics and Gynecology, the Affiliated Hospital of Medical College, Qingdao University, People's Republic of China.
Am J Obstet Gynecol. 2011 Jan;204(1):31.e1-7. doi: 10.1016/j.ajog.2010.08.048.
We sought to evaluate a conservative treatment modality, angiographic uterine artery embolization (UAE) followed by immediate curettage, in the treatment of cervical pregnancy.
Sixteen patients with cervical pregnancy were first treated by UAE to control or prevent vaginal bleeding. Curettage of cervical canal was performed immediately after UAE to remove gestational tissue from the cervix. Clinical outcome assessments include vaginal bleeding, serum β-human chorionic gonadotropin level, cervical mass, menstruation, fertility, and hospitalization time.
Fifteen patients were successfully treated by UAE followed by immediate curettage. One patient at very early gestational age underwent UAE only. Quick regression of serum human chorionic gonadotropin level and cervical mass, fertility preservation, and a short hospital stay were observed.
UAE followed by immediate curettage is an efficient conservative treatment for cervical pregnancy. This procedure may become a useful alternative to other conservative approaches.
我们旨在评估一种保守治疗方法，即血管内子宫动脉栓塞术（UAE）联合即刻刮宫术，用于治疗宫颈妊娠。
16 例宫颈妊娠患者首先接受 UAE 治疗，以控制或预防阴道出血。UAE 后立即进行宫颈管刮宫术，以从宫颈清除妊娠组织。临床结局评估包括阴道出血、血清β-人绒毛膜促性腺激素水平、宫颈肿块、月经、生育能力和住院时间。
15 例患者经 UAE 联合即刻刮宫术成功治疗。1 例极早期妊娠患者仅行 UAE 治疗。术后血清人绒毛膜促性腺激素水平和宫颈肿块迅速消退，保留了生育能力，住院时间短。
UAE 联合即刻刮宫术是一种有效的宫颈妊娠保守治疗方法。该方法可能成为其他保守治疗方法的有效替代。
