CAJ | 학술논문

目的：探讨子宫动脉栓塞术（uterine artery embolization，UAE）治疗子宫瘢痕妊娠（cesarean scar pregnancy，CSP）的疗效及其对卵巢功能的影响。方法2007年6月至2012年3月佛山妇幼保健院共收治CSP患者62例接受UAE治疗，术后对患者进行随访，记录患者月经恢复情况，并对有生育要求的患者进行排卵监测评估卵巢功能情况及再次妊娠情况。结果（1） UAE治疗CSP的有效率为96.77%；（2）UAE治疗前后月经周期（30.0±4.0）d和（29.0±3.0）d、经期（5.0±2.0）d和（4.0±3.0）d及经量100%和90%无明显变化（P>0.05）；（3）有生育要求的23例患者于UAE治疗后2~5个月恢复排卵；（4）有生育要求的23例患者中有7例于术后8~12个月成功自然妊娠。结论 UAE治疗对CSP有较好疗效的同时不影响月经情况，并且对卵巢功能影响小，利于再次妊娠。
목적：탐토자궁동맥전새술（uterine artery embolization，UAE）치료자궁반흔임신（cesarean scar pregnancy，CSP）적료효급기대란소공능적영향。방법2007년6월지2012년3월불산부유보건원공수치CSP환자62례접수UAE치료，술후대환자진행수방，기록환자월경회복정황，병대유생육요구적환자진행배란감측평고란소공능정황급재차임신정황。결과（1） UAE치료CSP적유효솔위96.77%；（2）UAE치료전후월경주기（30.0±4.0）d화（29.0±3.0）d、경기（5.0±2.0）d화（4.0±3.0）d급경량100%화90%무명현변화（P>0.05）；（3）유생육요구적23례환자우UAE치료후2~5개월회복배란；（4）유생육요구적23례환자중유7례우술후8~12개월성공자연임신。결론 UAE치료대CSP유교호료효적동시불영향월경정황，병차대란소공능영향소，리우재차임신。
Objective To investigate the efficacy and influence of ovarian function after uterine artery embolization for uterine scar pregnancy. Methods 62 patients were treated by UAE in Maternal and Child Hospital of Foshan City from June 2007 to March 2012. The recovery of menstrual, ovarian function of all patients and the pregnancy of the patients who had fertility requirements were recorded after UAE by follow-up. Results 1.The effective rate is 96.77%. 2.There are no significant difference of the menstrual cycle(30.0±4.0)d vs (29.0±3.0)d, menstruation(5.0±2.0)d vs (4.0±3.0)d and menstrual volume(100%vs 90%)before and after UAE (P>0.05). 3. Ovulation was resumed after 2~5 monthes in 23 patients who had fertility requirements (P>0.05). 4. There are 7 patients were pregnant in 23 patients who had fertility requirement. Conclusions Uterine artery embolization is effective. It can preserve the ovarian function and beneficial for pregnancy.