子宫动脉药物灌注栓塞在控制及预防子宫瘢痕妊娠出血中的应用  

The application of uterine arteriai infusion and embolization for the control and prevention of hemorrhage in cesarean scar pregnancy

作　　者：樊庆勇[1] 

机构地区：[1]山东省菏泽市立医院介入科,山东菏泽274031

出　　处：《医学影像学杂志》2012年第6期980-983,共4页Journal of Medical Imaging

摘　　要：目的探讨子宫动脉灌注栓塞联合清宫术治疗子宫瘢痕妊娠的可行性和安全性。方法 31例异位妊娠患者经双侧子宫动脉各灌注氨甲蝶呤(methotrexate,MTX)50mg,再以明胶海绵栓塞,术后1～7天行清宫术。结果 31例患者均灌注栓塞成功,清宫时平均出血34.3ml,无严重并发症发生。结论子宫动脉灌注栓塞联合清宫术治疗子宫瘢痕妊娠是一种安全、有效并值得推广的方法,可明显降低子宫切除和丧失生育能力的风险。Objective To discuss the feasibility and safety of uterine arteriai chemoembolization combined with curettage in treating cesarean scar pregnancy. Methods Uterine arterial chemoembolization was performed in 31 patients in our hospital, who were followed by arterial infusion of 50mg MTX and embolization with Gelfoam particles. Then curettage of u terus was carried out within 1 -7 days after the procedure. Results Technical success in performing chemoembolization was achieved in all 31 patients. The average biood loss during curettage procedure was 34.3 ml. No serious complications occurred. Conclusion Uterine arteriai chemoembolization combined with Curettage is a safe and effective treatment for cesarean scar pregnancy. This technique can greatiy avoid unnecessary uterectomy and preserve the fertility of the female patients. It is worth popularizing the technique in clinical practice.

关 键 词：动脉灌注栓塞 清宫术 瘢痕妊娠 

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