子宫动脉化疗栓塞术在子宫颈内妊娠中的应用  

Uterine artery chemoembolization:its application in treating cervical pregnancy

作　　者：张国福[1] 尚鸣异[1] 田晓梅[1] 韩志刚[1] 王雪珍[1] 王冬燕[1] 黄紫蓉[1] 徐丛剑[1] 

机构地区：[1]上海复旦大学附属妇产科医院,200011

出　　处：《介入放射学杂志》2009年第3期182-184,共3页Journal of Interventional Radiology

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例宫颈妊娠患者行子宫动脉化疗栓塞术,经双侧子宫动脉各灌注MTX100mg,庆大霉素8万u,再以明胶海绵栓塞,术后24～72h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50～100ml,平均65ml。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。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 24 - 72 h after the procedure. Results The technical success rate of bilateral uterine artery chemoembolization was 100%. The blood loss was 50 - 100 ml （mean 65 ml） during the procedure of cleaning the uterus and the cervix uteri. No serious complications occurred. Conclusion Uterine artery chemoembolization is an effective and safe treatment for cervical pregnancy, which can greatly avoid unnecessary uterectomy and preserve fertility function.

关 键 词：宫颈妊娠 子宫动脉栓塞术 化学治疗MTX 

分 类 号：R714.226[医药卫生—妇产科学]