Clinical value of uterine artery embolization in the treatment of caesarean scar pregnancy in the second trimester of pregnancy / 中国实用妇科与产科杂志

ABSTRACT

OBJECTIVE: To analyse the clinical value of uterine artery embolization(UAE)in the treatment of caesarean scar pregnancy(CSP)in the second trimester of pregnancy.METHODS: The clinical data of 29 cases treated from January2013 to June 2018 in Shengjing Hospital of China Medical University was retrospective analyzed.The patients were divided into group A(14 cases)and group B(15 cases)according to the first hospital. visitedPatients in group A first visited basic local hospitals and underwent drug-induced labor.Due to a large amount of vaginal bleeding or failure of induced labor,they were transferred to our hospital for further treatment. Patients in group B first visited our hospital and were treated by UAE before induced labor. The therapeutic effect was compared between the two groups.RESULTS: There was no statistical difference between the two groups in age,gestational weeks,number of caesarean section,period of time from previous caesarean section,or number of previous induced abortions(P>0.05).The average operation time of group B was shorter than that of group A[(54.00±31.19)min vs.(105.07±67.92)min,P<0.05]. The average intraoperative bleeding of group B was less than that of group A[(73.33±24.57)mL vs.(869.29±276.99)mL,P<0.05].Postoperative vaginal bleeding time of group B was shorter than that of group A[(4.46±1.06)d vs.(6.79±2.08)d,P<0.05].Average hospitalization time of group B was shorter than that of group A[(8.80±1.74)d vs.(14.57±4.54)d,P<0.05].The transfusion rate of group B was lower than that of group A[0 vs.78.6%,P<0.05].The uterine retention rate of group B was higher than group A[100% vs.71.4%,P<0.05].CONCLUSION: UAE has significant clinical value in the treatment of CSP in the second trimester of pregnancy.It can reduce operation time,intraoperative bleeding volume and increase uterine retention rate.