Abstract:To explore the influence of uterine artery embolization(UAE)on ovarian ruction for the treatment of uterine scar pregnancy.M ethods Choose 46 patients diagnosed as cesarean scar pregnancy and treated in our hospital from June 2012 to June 2015.24 of them received ultrasound-guided curettage after uterine artery embolization,and the other 22 patients were treated by laparoscopic.To compared the general information of two groups,and the time to return to normalmenstrual cycle.For all of these patients,serum levels of concentrations of progestogen(P),follicule Stimulating hormone(FSH),luteotropic hormone(LH),estrin(E2),and prolactin(PRL)were measured before operation and the second day when themenstruation came back 3,6 months after the operation.The data of two groupswere statistically analyzed and compared.At the same time,we observed whether premature ovarian failure ormenopausal symptoms appeared,such as amenorrhea,hot flashes,irritability etc.Results There was no statistical significance between the two groups in general information.Compared with laparoscopic group,patients in UAE group needed a long time to return to normalmenstrual cycle,and there was statistically significant(P<0.05).There was no statistical significance between the two groups in ovarian endocrine function before the operation(P>0.05).Therewas no statistical significance between the two groups in ovarian endocrine function after 3 months and 6 months postoperatively (P>0.05).No premature ovarian failure and perimenopausal symptoms was observed during the observation period.Conclusion There is no effect on ovarian endocrine function of uterine artery embolization(UAE)for treatmentuterine scar pregnancy.
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