目的：探讨子宫动脉介入栓塞化疗术（ UACE ）在特殊部位妊娠治疗中效果，减少终止妊娠式治疗的危害性。方法：将72例特殊部位妊娠患者按治疗方式分为两组，对照组36例在给予米非司酮、甲氨蝶呤杀胚后实施清宫术，实验组36例实施UACT，比较两组术中出血量、月经恢复及宫腔输卵管畅通情况等。结果：实验组术中出血量为（73．2±18．9）mL，少于对照组（112．5±32．4）mL（P＜0．05）；两组血β-HCG、月经周期恢复正常时间比较差异无统计学意义（ P＞0．05）；实验组子宫输卵管造影显示输卵管畅通率为91．67％，高于对照组的72．22％（ P＜0．05）；对照组4例术中大出血，3例子宫穿孔，刮宫相关并发症发生率为19．44％，实验组无1例发生大出血及子宫穿孔。结论：UACE是治疗特殊部位妊娠的有效方法，可保留卵巢及输卵管的生理、解剖功能，安全、可靠，可作为特殊部位妊娠的首选保守治疗方法。%Objective: To investigate the effect of uterine artery chemoembolization ( UACE ) in the treatment of specific parts of pregnancy ,to reduce the dangers .Method:72 cases of special parts of pregnan-cy were divided into 2 groups according to the treatment , 36 cases in the control group were given mifepris-tone , methotrexate after killing embryos implementation curettage , while 36 cases in the test group imple-mented UACT, compared intraoperative bleeding , menstruation and uterine tubal smooth .Result:The blood loss in the test group was (73.2±18.9) mL, less than that in the control group (112.5±32.4) mL (P <0. 05);blood β-HCG, restore normal menstrual cycle time between two groups showed no statistically signifi-cant ( P>0.05);hysterosalpingography display tubal smooth in the test group was 91.67%,which was high-er than in the control group (72.22%) (P<0.05);4 cases in the control group of intraoperative bleeding , 3 cases of uterine perforation , curettage associated morbidity 19.44 %, nobody bleeding and uterine perfora-tionin in the test group .Conclusion:UACE special parts of pregnancy is an effective method of treatment , It can keep the ovaries and fallopian tubes physiological , anatomical features, safe, reliable , It's a conserva-tive treatment method of choice as a special part of pregnancy .
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