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子宫瘢痕妊娠大出血介入治疗疗效分析
引用本文:徐明林,吴秀彦,许哲.子宫瘢痕妊娠大出血介入治疗疗效分析[J].中国当代医药,2013(2):111-112.
作者姓名:徐明林  吴秀彦  许哲
作者单位:内蒙古自治区呼伦贝尔市人民医院介入治疗科;内蒙古自治区呼伦贝尔市海拉尔农垦总医院妇产科
摘    要:目的探讨双侧子宫动脉介入栓塞治疗子宫瘢痕妊娠大出血的应用价值。方法对本院2005年10月~2012年9月确诊为子宫瘢痕妊娠大出血的10例患者,采用双侧子宫动脉内灌注甲氨蝶呤(MTX)之后用聚乙烯醇(PVA)微球超选择性栓塞双侧子宫动脉介入治疗进行回顾性分析。结果 10例患者均栓塞止血成功,血β-HCG均降至正常。结论介入治疗子宫瘢痕妊娠大出血既快速、有效,又无严重并发症,值得临床推广使用。

关 键 词:子宫瘢痕妊娠  大出血  介入治疗  疗效

Efficacy analysis of the interventional treatment for cesarean scar pregnancy bleeding
Authors:XU Minglin  WU Xiuyan  XU Zhe
Institution:1.Department of Interventional Oncology, People’s Hospital of Hulun Buir City in Inner Mongolia Autonomous Region, Hulun Buir 021000, China; 2.Department of Obstetrics and Gynecology, Hulunbeier Hailar Farm Hospital in Inner Mongolia Autonomous Region, Hulun Buir 021000, China
Abstract:Objective To explore the application value of bilateral uterine artery embolization for cesarean scar pregnancy bleeding. Methods Ten patients diagnosed as cesarean scar pregnancy bleeding in our hospital from October 2005 to September 2012 were selected, bilateral uterine artery infusion of methotrexate (MTX), polyvinyl alcohol (PVA) microspheres super selective embolization of the uterine artery interventional therapy were retrospectively analyzed. Results Ten patients embolization was successful, serum β-HCG dropped to normal. Conclusion Interventional treatment of cesarean scar pregnancy bleeding is fast and effective, has no serious complications, is worthy of clinical use.
Keywords:Cesarean scar pregnancy  Bleeding  Interventional treatment  Effect
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