子宫动脉灌注化疗栓塞术在胎盘植入治疗中的应用

目的:探讨子宫动脉灌注化疗栓塞术治疗胎盘植入的应用价值和安全性.方法:选择某医院就诊的11例胎盘植入患者(其中10例合并子宫出血)行子宫动脉灌注化疗栓塞术,经双侧子宫动脉灌注MTX各50mg.再以明胶海绵栓塞,术后3～10d行清宫术.结果:子宫动脉灌注化疗栓塞术成功率100%.清宫术出血量少,无严重并发症发生.结论:子宫动脉灌注化疗栓塞术不仅可治疗胎盘植入所致子宫出血,还可明显降低子宫切除的风险,保障清宫术安全顺利操作.

Application of uterine artery chemoembolization in treating placenta accreta

Objective： To discuss the application value and safety of uterine artery chemoembolization in treating placenta accreta. Methods： Uterine artery chemoembolization was performed in 11 patients（among them of 10 patients combined uterine bleeding） with placenta accreta in authors＇ hospital.via bilateral uterine arteries 50mg MTX were infused separately, which was followed by embolization of bilateral uterine arteries with gelfoam. Curettage of uterus was carried out within 3-10 days after the precedure. Results： The technical success rate of bilateral uterine artery chemoembolization was 100% .the blood was loss during the procedure of curettage of utenus.no serious complications occurred. Conclusion： The uterine artery chemoembolization is not only an effective treatment for placenta accreta but also avoidance the risk of unnecessary uterectomy greatly.this technique can ensure operation of curettage of uterus.