The Curative Effective Control Study Of Different Embolic Particles In Uterine Artery Embolization For The Treatment Of Scar Pregnancy

Objective: To explore the embolic particles which are more suitable for the UAE,the gelatin sponge embolic particles and PVA embolic particles are used in uterine artery embolization for the treatment of scar pregnancy.By comparing their short-term curative effect and security,we can improve the more effective interventional treatment and reduce the postoperative symptoms. Material and method: Research objects are 50 patients with informed consent,who are diagnostic for scar pregnancy in Fujian Union Hospital and Fujian Maternal and child health care Hospital treatment from 2014 January to 2014 December。They were randomly divided into two groups,24 patients treatment with gelatin sponge and 26 patients treatment with PVA。All the 45 patients are treatment with UAE and Ultrasound guided curettage。The date of the bleeding amount of curettage、situation of operation、Postoperative adverse events、hospitalization days。Follow-up record patient menstruation recovery after discharge:including whether menstrual cycle regularity,menstrual quantity is normal and the changes of records.All data collected by using SPSS16.0 statistical software for statistical analysis。Result:1 、 Two groups were successful line of UAE suture and termination of pregnancy, the bleeding amount of curettage in 4 patients more than 700 ml,among them 2 patients into surgery because of intraoperative what was the amount of bleeding, less intraoperative blood loss of patients, postoperative pathological diagnosis of CSP. All patients were not hysterectomy serious complications occurred.In the two groups in the UAE postoperative adverse events,the bleeding amount of curettage,hospitalization is no statistical difference(P>0.05);2、Follow-up of 3 months above, there are menstrual cycle disorder observed in 2 patients, 1 patient appears amenorrhoea,the rest of patients menstrual cycle recovered,but some patients appear different degree of menstrual quantity decreases,between the two groups decreased postoperative period and menstrual cycle recovery is no significant statistical differences(P>0.05).Conclusion: 1, PVA particles and sponge embolic particles are effectively in the UAE for the treatment of scar pregnancy; 2, PVA particles and sponge embolic particles in UAE for the treatment of scar pregnancy recent clinical curative effect and safety is not statistically significant. Gelatin sponge as the effect of embolization agent, more suitable for young patients with fertility requirements;PVA as constant embolization agent, more suitable for older patients without fertility requirements.