Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3964031 | Journal of Reproduction and Contraception | 2009 | 8 Pages |
ObjectiveTo analyze retrospectively the utility of uterine arterial embolization (UAE) for cesarean scar pregnancy (CSP).MethodsFifty-one women with CSP were pretreated with UAE before dilatation & curettage (D&C). Indexes such as blood loss volume, operation-associated complications, serum hCG level, ultrasound imaging and hospitalization cost were analyzed.ResultsThirty-eight women accepted D&C following UAE (group A), 10 patients had medicine (3 took trichosanthin injection, 7 took MTX injection) before UAE and D&C (group B). Uterine packing following emergency UAE were performed in another 3 women due to severe hemorrhage during direct curettage without pretreatment (group C). There were no statistically significant differences between group A and group B about the serum β-hCG level resolution time and the blood loss in the opertation. Patients had shorter duration of hospital stay (P<0.01) and cheaper cost of hospitalization (P<0.05) of group A than group B.ConclusionPretreatment with UAE before curettage is safe and effective in terminating CSP, reducing hospitalization cost. UAE followed by curettage is recommended to medical facilities where UAE is available.