子宫动脉化疗栓塞治疗剖宫产子宫瘢痕妊娠的临床价值

目的探讨子宫动脉化疗栓塞治疗剖宫产子宫瘢痕妊娠的临床应用价值。方法对22例剖宫产子宫瘢痕妊娠的患者进行双侧子宫动脉内灌注甲氨蝶呤（MTX）和明胶海绵条栓塞,3～5d后行清宫术。结果 22例患者均成功实施了子宫动脉化疗栓塞,清宫时出血量平均20ml,无严重并发症。随访2～3个月,月经均恢复正常。结论子宫动脉化疗栓塞是治疗剖宫产子宫瘢痕妊娠的一种很有价值的方法,值得临床推广使用。

Application of uterine artery chemo-embolization in caesarean scar pregnancy

Objective To probe the clinical value of uterine artery chemo-embolization （UACE） in the treatment of caesarean scar pregnancy （ CSP）. Methods 22 patients with CSP were treated with bilateral UACE by use of methotrexate （MTX） and gelatin sponge. 3-5 d after UACE, curettage was then performed. Results UACE achieved a technical success of 100% in 22 patients without any serious complications and with an average bleeding volume of 30 ml during process of curettage. Menstruation returned to normal at follow-up of 2-5 months. Conclusion UACE is a valuable and applicable method in the treatment of CSP with a reliable efficacy and worth being used in clinical practice.