Diagnosis and Treatment of Cervical Ectopic Pregnancy

Objective To investigate the diagnosis and treatment of cervical ectopic pregnancy.Methods The clinical data of 27 patients with cervical ectopic pregnancy who were treated in Peking Union Medical College Hospital from January 1990 to November 2009 were retrospectively reviewed.The clinical effectiveness of three fertility-preserved treatment modes were compared.Results Of these 27 patients,one underwent hysterectomy,while all the other 26 patients selected fertility-preserved treatment,which included curettage after uterine artery embolization(UAE)(n=14),curettage directly(n=8),and curettage after methotrexate(MTX)injection(n=4).The effectiveness rates of these three methods were 100%,75.0%,and 50.0%,respectively,which was significantly higher in curettage after UAE group than in curettage after MTX group(P=0.005).The duration of hospitalization was(17.0±3.2)days in curettage after MTX group,which was significantly longer than that in curettage after UAE group(6.1±2.9)d(P=0.004)and curettage directly group(4.9±3.4)d(P=0.001).The mean hospitalization cost showed no significant difference among three groups(P=0.104).Conclusion Curettage after UAE is safe and effective for patients diagnosed or highly suspicious of cervical pregnancy.