【摘要】:目的:探讨子宫动脉栓塞术在子宫瘢痕妊娠(cesarean scar pregnancy，CSP)的诊断及治疗效果分析。方法:对1998～2006年收治的11例CSP患者临床资料进行回顾性分析。结果:11例患者中5例在盆腔B-超初筛及阴道多普勒复核确诊，先行子宫动脉栓塞(uterine artery embolisation，UAE)后行人流术，有4例一次治疗成功。6例诊断为宫内早孕行人工流产或药物流产，在流产术中或术后发生大量阴道出血伴早期失血性休克，经复查彩超明确诊断，在UAE治疗后行清宫术成功，均迅速有效的控制了阴道出血并减少了术中出血，7例患者栓塞后联合药物、手术或期待治疗均成功的保留了生育功能有6例。结论:子宫动脉栓塞可以迅速止血，应首选，栓塞后联合药物或联合B超监视宫腔镜下清宫以及手术治疗是安全有效的治疗方法。

    【关键词】:子宫瘢痕妊娠;栓塞术;动脉

    【中图分类号】R713.4【文献标识码】A【文章编号】1007-8517(2010)08-040-2

    Clinical value of uterine arterial embolization of cesarean scar ectopic pregnancies

    Huang Changqing.Department of Radiology of The Yi Du City No.2 People’s hospital Of Hu Bei Province，YiDu，China.

    【Abstract】:Objective:To clinical value of uterine arterial embolization cesarean scar pregnancy(CSP). Methods:there were 11cases CSP in our hospital from 1998 to 2006，clinical data analyzed retrospectively. Results:5 cases were preliminary screened through ultrasonography and final diagnosised through vaginal color Doppler ......