An efficient conservative treatment modality for cervical pregnancy: angiographic uterine artery embolization followed by immediate curettage - 19/08/11
, ShuZhen Dai, MD a, YongHua Zhang, MD a, YuYing Duan, MD a, ChengJian Sun, MD b
Reprints: Bing Xu, MD, PhD, Department of Obstetrics and Gynecology, Affiliated Hospital of Medical College, Qingdao University, No. 16 Jiangsu Rd., Qingdao 266003, PR ChinaRésumé |
Objective |
We sought to evaluate a conservative treatment modality, angiographic uterine artery embolization (UAE) followed by immediate curettage, in the treatment of cervical pregnancy.
Study Design |
Sixteen patients with cervical pregnancy were first treated by UAE to control or prevent vaginal bleeding. Curettage of cervical canal was performed immediately after UAE to remove gestational tissue from the cervix. Clinical outcome assessments include vaginal bleeding, serum β-human chorionic gonadotropin level, cervical mass, menstruation, fertility, and hospitalization time.
Results |
Fifteen patients were successfully treated by UAE followed by immediate curettage. One patient at very early gestational age underwent UAE only. Quick regression of serum human chorionic gonadotropin level and cervical mass, fertility preservation, and a short hospital stay were observed.
Conclusion |
UAE followed by immediate curettage is an efficient conservative treatment for cervical pregnancy. This procedure may become a useful alternative to other conservative approaches.
Le texte complet de cet article est disponible en PDF.Key words : bleeding, cervical pregnancy, curettage, fertility, uterine artery embolization
Plan
| Cite this article as: Wang Y, Xu B, Dai S, et al. An efficient conservative treatment modality for cervical pregnancy: angiographic uterine artery embolization followed by immediate curettage. Am J Obstet Gynecol 2011;204:31.e1-7. |
Vol 204 - N° 1
P. 31.e1-31.e7 - janvier 2011 Retour au numéro
Article précédent
- Laparoscopic incidental appendectomy during laparoscopic surgery for ovarian endometrioma
- Jung Hun Lee, Joong Sub Choi, Seung Wook Jeon, Chang Eop Son, Jong Woon Bae, Jin Hwa Hong, Kyo Won Lee, Yong Seung Lee
- The Growth Restriction Intervention Trial: long-term outcomes in a randomized trial of timing of delivery in fetal growth restriction
- Dawn-Marie Walker, Neil Marlow, Lisa Upstone, Harriet Gross, Janet Hornbuckle, Andy Vail, Dieter Wolke, Jim G. Thornton
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?