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子宫动脉化疗灌注栓塞及刮宫术联合治疗宫颈妊娠
引用本文:杨敏玲,谢春明,庞宁东,冯对平.子宫动脉化疗灌注栓塞及刮宫术联合治疗宫颈妊娠[J].中国介入影像与治疗学,2008,5(4):298-301.
作者姓名:杨敏玲  谢春明  庞宁东  冯对平
作者单位:山西医科大学第一医院放射科,山西,太原,030001
摘    要:目的评价经子宫动脉化疗灌注、动脉栓塞、刮宫术联合治疗宫颈妊娠的疗效。方法24例宫颈妊娠患者,7例因发生大出血仅行子宫动脉栓塞和刮宫术,余17例行超选择性子宫动脉插管后灌注甲氨蝶呤(MTX)、明胶海绵颗粒栓塞后联合刮宫术进行治疗,所有患者术后均观察β-HCG值变化。结果24例患者双侧子宫动脉插管及栓塞成功率均为100%。17例行灌注化疗和栓塞术后刮宫及7例栓塞前刮宫大出血急诊行动脉栓塞患者,刮宫中胚胎组织易于剥离,出血仅为5-10ml。术后1周复查β-HCG下降,术后无严重并发症发生。结论子宫动脉药物灌注、动脉栓塞联合刮宫术治疗宫颈妊娠是一种微创、简便、安全有效的方法。

关 键 词:灌注  栓塞  治疗性  刮宫术  妊娠
收稿时间:2008/4/22 0:00:00
修稿时间:5/9/2008 12:00:00 AM

Efficacy of the uterine artery infusion and embolization combined with curettage for cervical pregnancy
YANG Min-ling,XIE Chun-ming,PANG Ning-dong and FENG Dui-ping.Efficacy of the uterine artery infusion and embolization combined with curettage for cervical pregnancy[J].Chinese Journal of Interventional Imaging and Therapy,2008,5(4):298-301.
Authors:YANG Min-ling  XIE Chun-ming  PANG Ning-dong and FENG Dui-ping
Institution:Department of Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001,China;Department of Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001,China;Department of Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001,China;Department of Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001,China
Abstract:Objective To evaluate the treatment efficacy of the uterine artery infusion and embolization combined with uterine curettage for cervical pregnancy (CP). Methods Seven of 24 patients with CP underwent uterine artery embolization and curettage because of large hemorrhage, while 17 cases underwent superselective transcatheter uterine artery infusion with MTX and embolization with gelfoam particles and curettage. The changes of serum β-HCG level in all patients were measured after operation. Results The technical successful rate was 100%. The postoperative uterine curettage in all cases was smoothly performed,hemorrhage volume only ranged from 5 ml to 10 ml, and serum β-HCG level decreased. No severe complications occured related to the procedures. Conclusion Uterine artery infusion and embolization combined with uterine curettage CP is a convenient, safe and effective choise for the treatment of CP.
Keywords:Perfusion  Embolization  therapeutic  Uterine curettage  Pregnancy
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