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子宫动脉栓塞治疗异位妊娠
引用本文:杨敏玲,杨国玲,冯对平,庞宁东,陈毅,谢春明. 子宫动脉栓塞治疗异位妊娠[J]. 中国介入影像与治疗学, 2012, 9(12): 851-853
作者姓名:杨敏玲  杨国玲  冯对平  庞宁东  陈毅  谢春明
作者单位:1. 山西医科大学第一医院介入科,山西太原,030001
2. 中国人民解放军海军门诊部丰台卫生所,北京,100071
摘    要:目的观察子宫动脉栓塞(UAE)在治疗异位妊娠(EP)中的应用价值。方法收集33例接受UAE治疗(其中13例伴阴道出血)、并于栓塞后1周内接受清宫术或取胚术终止妊娠的EP患者,回顾性分析其DSA表现及疗效。结果33例DSA均表现为病灶局部血供丰富,24例为双侧均等供血(24/33,72.73%),9例为单侧优势供血(9/33,27.27%)。对所有患者均成功完成双侧UAE33例中,治疗有效32例,无效1例,有效率96.97%(32/33)。结论UAE有利于提高保守治疗EP的成功率。

关 键 词:栓塞  治疗性  子宫动脉  妊娠  异位
收稿时间:2012-05-04
修稿时间:2012-10-13

Uterine artery embolization for the treatment of ectopic pregnancy
YANG Min-ling,YANG Guo-ling,FENG Dui-ping,PANG Ning-dong,CHEN Yi and XIE Chun-ming. Uterine artery embolization for the treatment of ectopic pregnancy[J]. Chinese Journal of Interventional Imaging and Therapy, 2012, 9(12): 851-853
Authors:YANG Min-ling  YANG Guo-ling  FENG Dui-ping  PANG Ning-dong  CHEN Yi  XIE Chun-ming
Affiliation:Department of Interventional Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001, China;Fengtai Health Clinic, the Navy Out-Patient Department of Chinese People's Liberation Army, Beijing 100071, China;Department of Interventional Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001, China;Department of Interventional Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001, China;Department of Interventional Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001, China;Department of Interventional Radiology, the First Hospital of Shanxi Medical University, Taiyuan 030001, China
Abstract:Objective To observe the application value of uterine arterial embolization (UAE) in the treatment of ectopic pregnancy (EP). Methods Totally 33 EP patients underwent UAE. Among them vaginal bleeding occurred in 13 cases. Pregnancy was terminated by using uterine curettage or embryo via salpingotomy within 1 week after UAE. DSA features and therapeutic effect of UAE were analyzed retrospectively. Results Abundant blood supply was found in all lesions of 33 cases. According to DSA findings, the blood supply was divided into bilateral equal feeding type (n=24, 24/33, 72.73%) and unilateral advantage blood supply type (n=9, 9/33, 27.27%). Bilateral UAE was completed successfully in all patients, which were effective in 32 cases and ineffective in 1 case. The effective rate was 96.97% (32/33). Conclusion UAE can improve the success rate of conservative treatment for EP.
Keywords:Embolization, therapeutic  Uterine artery  Pregnancy, ectopic
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