Angiographic uterine artery embolization followed by immediate curettage: An efficient treatment for controlling heavy bleeding and avoiding recurrent bleeding in cervical pregnancy

被引:20
作者
Xu, Bing
Wang, Yan-Kui
Zhang, Yong-Hua
Wang, Song
Yang, Ling
Dai, Shu-Zhen
机构
[1] Qingdao Univ, Affiliated Hosp Med Coll, Dept Obstet & Gynecol, Qingdao 266003, Peoples R China
[2] Qingdao Univ, Affiliated Hosp Med Coll, Dept Radiol, Qingdao 266003, Peoples R China
关键词
bleeding; cervical pregnancy; curettage; fertility; uterine artery embolization;
D O I
10.1111/j.1447-0756.2007.00512.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Two cases of cervical pregnancy with heavy bleeding successfully treated by uterine artery embolization (UAE) followed by immediate curettage are described in this report. Case 1 demonstrated intermittent bleeding after serious bleeding was successfully controlled by UAE. Serum beta human chorionic gonadotropin (beta-hCG) level rose remarkably after a short time decline. Transvaginal sonography consistently revealed a heterogeneous mass in the cervix. Repeated UAE followed by immediate curettage was performed and complete resolution was achieved. Case 2 was also successfully managed by UAE followed by immediate curettage after failure of medical treatment. This report suggests that UAE followed by immediate curettage is a safe and efficient procedure for controlling heavy bleeding and avoiding recurrent bleeding when fertility capacity is desired in cases of cervical pregnancy with fetal cardiac activity and high beta-hCG concentration.
引用
收藏
页码:190 / 194
页数:5
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