急诊介入栓塞对剖宫产后瘢痕妊娠大出血的应用价值  

Emergency uterine arterial choemembolization in the treatment of massive hemorrhage due to cesarean scar pregnancy

作　　者：孙晓龙[1] 石红春[1] 

机构地区：[1]重庆市急救医疗中心介入放射科,重庆400014

出　　处：《重庆医科大学学报》2011年第9期1135-1137,共3页Journal of Chongqing Medical University

摘　　要：目的：探讨剖宫产后子宫瘢痕妊娠（Cesarean section pregnancy,CSP）大出血时急诊双侧子宫动脉化疗栓塞术的应用价值。方法2：3例CSP患者出血量1 500-3 500 ml,平均2 000 ml,行双侧子宫动脉超选择性插管后灌注甲氨蝶呤（Methotrex-ate,MTX）和明胶海绵颗粒行栓塞治疗。结果：23例CSP患者全部栓塞成功,随访3~6个月无再次大出血。结论：急诊双侧子宫动脉化疗栓塞术治疗CSP患者安全、有效、无严重并发症,值得临床推广使用。Objective： To investigatecthe clinical application of bilateral uterine arterial chemoembolization in treating massive hemorrhage due to cesarean section scar pregnancy（CSP）.Methods：Twenty-three patients with massive hemorrhage due to cesarean were enrolled in the study,The mean blood loss was 2 000 ml.Selective catheterization was employed and bilateral uterine arterial chemoembolization with infusion methotrexate（MTX） together with gelatin sponge via the catheters was conducted.Results：The technical success was achieved in all the 23 patients.No recurrent bleeding occurred during a follow-up of 3~6 months.Conclusion：The emergency bilateral uterine arterial chemoembolization is a safe and effective treatment for massive hemorrhage due to cesarean scar pregnancy with no serious complications therefore,this technique is worth using in clinical practice.

关 键 词：动脉栓塞 剖宫产子宫瘢痕 妊娠 妇科大出血 

分 类 号：R714.22[医药卫生—妇产科学] R815[医药卫生—临床医学]