经导管子宫动脉注药治疗子宫疤痕异位妊娠的临床分析  

The clinical analysis of interventional therapy for uterine scar eccysis.

作　　者：刘素云[1] 李高文[2] 朱雪连[1] 胡卫忠[1] 钟俊勇[2] 陈小龙[2] 吴小平[2] 翁伟明[2] 

机构地区：[1]广东省汕头大学附属粤北人民医院妇产科,韶关512026 [2]广东省汕头大学附属粤北人民医院介入科,韶关512026

出　　处：《中华妇幼临床医学杂志（电子版）》2006年第2期89-90,共2页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

摘　　要：目的探讨子宫疤痕异位妊娠的最佳治疗方法。方法 12例子宫疤痕异位妊娠首先行导管双侧子宫动脉注入二氢叶酸还原酶抑制剂(MTX)和明胶海绵条栓塞术后,在超声监视下再行清除胚胎(清宫)术。结果 12例子宫疤痕异位妊娠均一次性彻底清除妊娠胚胎组织,出血极少,无1例发生子宫穿孔或术中、术后大出血,术后月经恢复正常。结论子宫疤痕异位妊娠首先行经导管双侧子宫动脉注药加栓塞术后再行清官术,是避免清官术中发生大出血而切除子宫的有效方法,更是一种安全可靠方法。Objective To investigate the therapy for uterine sear eccysis. Methods 12 eases of uterine sear eecysis were intervented with embolization of MTX, gelatin sponge and chemical medicine in bilatetrral uherine arteris. Artificial abortion was performed under B-ultrasonic scanning, Results Embryo tissure of eeeysis was eliminated thoroughly and there was little bleeding happened during or after the operation. Menses retured to normal. Conclusion It is a safe and efficient.method for interventional therapy for uterine scar eccysis.

关 键 词：子宫疤痕 异位妊娠 子宫动脉栓塞 

分 类 号：R714.2[医药卫生—妇产科学]