目的总结动脉栓塞在子宫异位妊娠患者人工流产术前预防出血的临床体会。方法 30例子宫异位妊娠患者予以子宫动脉栓塞,术后抗生素预防感染,3d后行人工流产术,用容积法记录术中出血量。结果所有患者均在动脉栓塞术后3d行人工流产术,胚胎组织在手术中能很好分离,经病理组织切片检查证实为蜕膜组织和绒毛样结构,血β-HCG10-25d恢复正常,6例患者有疼痛、发热、恶心等临床体征,经对症处理后临床体征均缓解,没有其他严重并发症发生。结论子宫动脉栓塞术在异位子宫妊娠人工流产术中一方面可控制术中引发的大出血,另一方面也可用作异位子宫妊娠大出血的预防措施,效果好、并发症少,保留了患者的生育能力,值得临床推广。 Objective To summarize the clinical experience of arterial embolism in the prevention of hemorrhage before artificial abortion in patients with uterine ectopic pregnancy. Methods Thirty patients with uterine ectopic pregnancy were treated with uterine arterial embolization. Postoperative antibiotics were used to prevent infection. Artificial abortion was performed after three days. Volume of intraoperative blood loss was recorded by volume method. Results All patients underwent artificial abortion three days after arterial embolization. The embryo tissues were well separated during operation. The decidual tissue and villous structures were confirmed by biopsy. The serum levels of β-HCG10-25d returned to normal and 6 Cases of patients with pain, fever, nausea and other clinical signs, symptomatic treatment of clinical signs were relieved, no other serious complications. Conclusion Uterine artery embolization in ectopic uterine pregnancy induced abortion can control the intraoperative bleeding caused by one side, on the other hand can also be used as a preventive measure for ectopic uterine pregnancy bleeding, the effect is good, less complications, patients were retained Fertility, it is worth clinical promotion.