| Objective: cervical pregnancy ( CP ) is the zygote implanted and developed in ce- rvix,which is an extremely rare and dangerous type of ectopic pregnancy. It often leads to fatal hemorrhage due to cervical atony. So hysterectomy is always used to save lives. The- refore, early detection of cervical pregnancy and taking effective measures is the key to de- al with this disease. As the transvaginal ultrasound has been used widely, the rate of early diagnosis of cervical pregnancy has been improved.Uterine artery embolization (UAE) has so many advantages such as rapid recovery,rapid controlling bleeding,retention of young patients with fertility function ,so it becomes a new effective treatment of cervical preg- nancy.This paper mainly describes the early diagnosis of cervi- -cal pregnancy and the eff- ect of UAE in curring cervical pregnancy.Methods: We collected the seven cases of cervical pregnancy in the Affiliated Hospital of Chifeng University from August 2005 to December 2010. All seven patients were diagnosed specifically with color Doppler ultrasound and other examination methods.The- re are 3 patients with massive vaginal bleeding, Oxytocin and cervical packing was invalid and ineffective,so they had been taked uterine artery embolization to stop bleeding in emergency; three of the rest four patients diagnosed CP,they happened massive vaginal bleeding during the conservative drug treatment , and then were brought under the emergency uterine artery embolization;the other one suspected with CP happened massive vaginal bleeding after conservative drug treatment,and then we gave her emergency uterine artery embolization.And we monitored patients' vital signs and puncture site closely after the embolization.In the 72 hours after embolization, all patients who were not given a curettage undrwent artifical abortion.Results: 1. The volume of vaginal bleeding of all patients in the embolization was significantly reduced, the onset time after UAE is 3.5 to 6.5 minutes,and the average time is 4.5 minutes.2.The bleeding volume in curettage of all patients was about 10～ 50ml, and the bloody vaginal discharge was gone after a week .3. The bloodβ-HCG showed a pro- gressive decline after 1 week ,dropping >80% , and came down to normal in 28～50 days .4.Adverse reactions and complications of UAE included postembolization syndro- me(n=5);urinary irritation (n=0);low fever (n=2);hyporrhea of vagina(n=1); and uri- nary retention (n=1).5.All patients appeared a good recovery of cervix by ultrasound in a month, and their menstruation recoveried in 2 or 3 months, there were no significant chang in menstruation. 7 patients were eventually cured.Conclusion: 1.Cervical pregnancy may lead to vaginal bleeding, shock and other serious cons- -equences,even life-threatening.Early diagnosis and proper treatment is essential.2. CP is mainly identificated with inevitable abortion and cesarean section scar pre- gnancy.Their clinical symptoms are so similar that we mainly use transvaginal color ultr- asonography in diagnosis.3.Uterine artery embolization has many advantages such as stopping bleeding qu- ickly, rapid recovery,avoiding the trauma and risks of surgery and anesthesia, keeping the reproductive function for young patients,ect. So UAE is feasible and effective for cervical pregnancy. |
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