Uterine Artery Embolization Treatment Of Cervical Pregnancy Joint Curettage

Objective:We sought to evaluate a conservative treatment modality, angiographic uterine artery embolization (UAE) followed by immediate curettage, in the treatment of cervical pregnancy.Methods:Twenty-seven 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, serumβ-human chorionic gonadotropin level, cervical mass, menstruation, fertility, and hospitalization time.Results:Twenty-seven patients were successfully treated by UAE followed by immediate curettage. Due to life-threatening hemorrhage, three patients underwent an emergency UAE. Quick regression of serum human chorionic gonadotropinlevel and cervical mass, fertility preservation, and a short hospitalstay were observed. The duration of hospitalization was days in curettage after MTX-based therapy group, which was significantly longer than that in curettage after UAE group.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.