子宫动脉栓塞治疗异位妊娠

摘要

Objective To observe the application value of uterine arterial embolization (UAE) in the treatment of ectopic pregnancy (EP). Methods Totally 33 EP patients underwent UAE. Among them vaginal bleeding occurred in 13 cases. Pregnancy was terminated by using uterine curettage or embryo via salpingotomy within 1 week after UAE. DSA features and therapeutic effect of UAE were analyzed retrospectively. Results Abundant blood supply was found in all lesions of 33 cases. According to DSA findings, the blood supply was divided into bilateral equal feeding type (n=24, 24/33, 72. 73%) and unilateral advantage blood supply type (n=9, 9/33, 27.27%). Bilateral UAE was completed successfully in all patients, which were effective in 32 cases and ineffective in 1 case. The effective rate was 96. 97% (32/33). Conclusion UAE can improve the success rate of conservative treatment for EP.%目的 观察子宫动脉栓塞(UAE)在治疗异位妊娠(EP)中的应用价值.方法 收集33例接受UAE治疗(其中13例伴阴道出血)、并于栓塞后1周内接受清宫术或取胚术终止妊娠的EP患者,回顾性分析其DSA表现及疗效.结果 33例DSA均表现为病灶局部血供丰富,24例为双侧均等供血(24/33,72.73％),9例为单侧优势供血(9/33,27.27％).对所有患者均成功完成双侧UAE；33例中,治疗有效32例,无效1例,有效率96.97％(32/33).结论 UAE有利于提高保守治疗EP的成功率.