子宫动脉栓塞术后宫腔粘连的临床分析

摘要

目的 探讨子宫动脉栓塞术(UAE)后宫腔粘连的治疗与预后.方法 2009年11月～2011年8月UAE后宫腔粘连行宫腔镜宫腔粘连分离术(TCRA)的患者10例,随访3～28个月,观察术后月经变化、宫腔形态改变及妊娠结局.结果 10例患者1例失访,9例TCRA术后均再次发生宫腔粘连,其中4例行第2～3次TCRA,9例患者均未妊娠.结论 UAE后引起的宫腔粘连TCRA术后预后差,妊娠困难.%Objective To investigate prognosis on intrauterine adhesions (IUA) after uterine artery embolisation ( UAE). Methods Ten patients who suffered from IUA after UAE underwent transcervical resection of intrauterine adhe-sions (TCRA) during November 2009 to August 2011. Follow-up the patients' menstruation, hysteroscopy re-diagnosis and pregnancy after operation. Results Nine patients were followed up range 3-28 months, all patients suffered IUA a-gain, four of them had got second or third TCRA. No patients got pregnancy. Conclusion There was a worse prognosis for the patients with IUA induced UAE after TCRA.