宫颈妊娠治疗的临床结局  

Clinical outcomes of cervical pregnancy

作　　者：吴小妹[1] 许琳[1] 金松[1] 

机构地区：[1]海南医学院附属医院妇产科,海南海口570102

出　　处：《海南医学院学报》2012年第9期1299-1300,1302,共3页Journal of Hainan Medical University

基　　金：中国高校医学期刊临床专项资金项目(112210320)~~

摘　　要：目的:分析不同方法治疗宫颈妊娠的临床结局。方法:回顾我院2001至2011年间15例宫颈妊娠患者的临床资料,分析宫颈妊娠不同治疗方法的临床结局。结果:宫颈妊娠的主要治疗方法为MTX+米非司酮+清宫,子宫动脉介入栓塞+MTX化疗+清宫,疗效满意。结果:子宫动脉介入栓塞+MTX化疗+清宫治疗宫颈妊娠在临床应用的比例升高,且成功率高,为保留子宫提供了极大的可能。但在治疗过程中,许多问题尚无统一定论。Objective. To analyze the clinical outcomes of cervical pregnancy treated by different methods. Methods. Clinical data of 15 patients with cervical pregnancy that were treated in our hospital from 2001 to 2011 were retrospectively analyzed. Results. Cervical pregnancy were mainly treated with two methods including MTX 4- mifepristone 4- fetus clearance or uterine artery interventional embolization 4- MTX chemotherapy 4- fetus clearance, clinical outcomes were all satisfactory. Conclusions. Higher proportion of patients with cervical pregnancy were treated with uterine artery interventional embolization 4- MTX chemotherapy 4- fetus clearance, which has high success rate and avoid hysterectomy, however arguments about this treatment still remain to be resolved.

关 键 词：宫颈妊娠 MTX 米非司酮 治疗结局 

分 类 号：R714.22[医药卫生—妇产科学]