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子宫动脉化疗栓塞术在子宫颈内妊娠中的应用
引用本文:张国福,尚鸣异,田晓梅,韩志刚,王雪珍,王冬燕,黄紫蓉,徐丛剑.子宫动脉化疗栓塞术在子宫颈内妊娠中的应用[J].介入放射学杂志,2009,18(3).
作者姓名:张国福  尚鸣异  田晓梅  韩志刚  王雪珍  王冬燕  黄紫蓉  徐丛剑
作者单位:上海复旦大学附属妇产科医院,200011
摘    要:目的 探讨子宫动脉灌注化疗栓塞术治疗子宫颈内妊娠(宫颈妊娠)的可行性和安全性.方法 2005年9月至2007年12月对我院就诊的12例宫颈妊娠患者行了宫动脉化疗栓塞术,经双侧子宫动脉各灌注MTX 100 mg,庆大霉素8万u,再以明胶海绵栓塞,术后24~72 h行清宫术.结果子宫动脉化疗栓塞操作成功率100%.清宫术时出血50~100 ml,平均65 ml.无严重并发症.结论 子宫动脉化疗栓塞配合清宫术可明显降低子宫切除和丧失生育能力的风险,是治疗宫颈妊娠安全、可行的方法.

关 键 词:宫颈妊娠  子宫动脉栓塞术  化学治疗  MTX

Uterine artery chemoembolization:its application in treating cervical pregnancy
ZHANG Guo-fu,SHANG Min-gyi,TIAN Xiao-mei,HAN Zhi-gang,WANG Xue-zhen,WANG Dong-yan,HUANG Zi-rong,XU Cong-jian.Uterine artery chemoembolization:its application in treating cervical pregnancy[J].Journal of Interventional Radiology,2009,18(3).
Authors:ZHANG Guo-fu  SHANG Min-gyi  TIAN Xiao-mei  HAN Zhi-gang  WANG Xue-zhen  WANG Dong-yan  HUANG Zi-rong  XU Cong-jian
Institution:ZHANG Guo-fu,SHANG Ming-yi,TIAN Xiao-mei,HAN Zhi-gang,WANG Xue-zhen,WANG Dong-yan,HUANG Zi-rong,XU Cong-jian. Department of Radiology,Obstetrics , Gynecology Hospital of Fudan University,Shanghai 200011,China
Abstract:Objective To discuss the feasibility and safety of uterine artery chemoembolization in the treatment of cervical pregnancy. Methods During the period of Sep. 2005 -Dec. 2007, uterine artery chemoemboliztion was performed in 12 patients with cervical pregnancy in the authors' hospital. Via bilateral uterine arteries 100 mg MTX and 80,000 U Gentamycin were infused separately, after that the bilateral uterine arteries were embolized with gelfoam. Cleaning of the uterus and the cervix uteri was carried out in 2...
Keywords:cervical pregnancy  uterine artery embolization  chemotherapy  methotrexate  
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