Department of Gynecology and Obstetrics, Qilu Hospital, Shandong University, 107#, West Wenhua Road, Jinan 250012, People's Republic of China.
Arch Gynecol Obstet. 2012 May;285(5):1313-8. doi: 10.1007/s00404-011-2132-2. Epub 2011 Nov 18.
To evaluate uterine artery chemoembolization (UAEC) followed by vacuum aspiration as a conservative treatment for complicated cesarean scar pregnancy.
A retrospective review was performed of women presenting with cesarean scar pregnancy between January 2002 and December 2008. The medical record was evaluated to determine the method of treatment.
During the time period studied, 13 women were identified who underwent UAEC followed by vacuum aspiration. 12 women successfully had bilateral UAEC followed by vacuum aspiration alone, one woman had unilateral UAEC followed by vacuum aspiration but subsequently required laparotomy. All 13 women were successfully cured and retained uterus, there was no case with severe complicating disease. With the follow-up period, two women who were planning future pregnancy conceived, and spontaneous abortion occurred in one of them during the first trimester, another had an elective cesarean delivery at term.
UAEC combined with vacuum aspiration is technically feasible and may help avoid laparotomy in women with cesarean scar pregnancy.
评估子宫动脉化疗栓塞（UAEC）联合负压吸引作为剖宫产瘢痕妊娠的保守治疗方法。
回顾性分析 2002 年 1 月至 2008 年 12 月期间就诊的剖宫产瘢痕妊娠患者。评估病历以确定治疗方法。
研究期间，共发现 13 例患者接受 UAEC 联合负压吸引治疗。12 例患者成功接受双侧 UAEC 联合单纯负压吸引治疗，1 例患者接受单侧 UAEC 联合负压吸引治疗，但随后需要剖腹手术。13 例患者均成功治愈并保留子宫，无严重并发症病例。随访期间，2 例有生育计划的患者成功妊娠，其中 1 例在孕早期自然流产，另 1 例足月剖宫产。
UAEC 联合负压吸引在技术上是可行的，可帮助避免剖宫产瘢痕妊娠患者进行剖腹手术。
