An efficient conservative treatment modality for cervical pregnancy: angiographic uterine artery embolization followed by immediate 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
Sixteen 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, serum β-human chorionic gonadotropin level, cervical mass, menstruation, fertility, and hospitalization time.


RESULTS
Fifteen patients were successfully treated by UAE followed by immediate curettage. One patient at very early gestational age underwent UAE only. Quick regression of serum human chorionic gonadotropin level and cervical mass, fertility preservation, and a short hospital stay were observed.


CONCLUSIONS
UAE followed by immediate curettage is an efficient conservative treatment for cervical pregnancy. This procedure may become a useful alternative to other conservative approaches.
Wang
YanKui
Y
Department of Obstetrics and Gynecology, the Affiliated Hospital of Medical College, Qingdao University, People's Republic of China.
Xu
Bing
B
Dai
ShuZhen
S
Zhang
YongHua
Y
Duan
YuYing
Y
Sun
ChengJian
C
D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood; D003131:Combined Modality Therapy / Q000379:methods; D004107:Dilatation and Curettage / Q000379:methods*; D005260:Female; D005298:Fertility; D006801:Humans; D007902:Length of Stay; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000628:therapy*; D055357:Uterine Artery Embolization / Q000379:methods*; D002577:Uterine Cervical Diseases / Q000097:blood / Q000628:therapy*; D014592:Uterine Hemorrhage / Q000517:prevention & control; D055815:Young Adult
D006063:Chorionic Gonadotropin