子宫动脉栓塞联合甲氨蝶呤灌注在瘢痕妊娠中的应用  

THE APPLICATION OF UTERINE ARTERY EMBOLIZATION AND METHOTREXATE INFUSION IN SCAR PREGNANCY

作　　者：李建明[1] 程学军[2] 秦孝军[1] 王泽鑫[1] 

机构地区：[1]内蒙古医科大学附属医院,内蒙古呼和浩特010050 [2]解放军第253医院

出　　处：《内蒙古医科大学学报》2015年第5期403-406,共4页Journal of Inner Mongolia Medical University

基　　金：中华人民共和国卫生部(KF-201303)

摘　　要：目的：探讨双侧子宫动脉栓塞联合甲氨蝶呤（ MTX）灌注化疗在治疗子宫瘢痕妊娠的临床应用价值。方法：对本院50例子宫瘢痕妊娠的病人进行双侧子宫动脉内灌注甲氨蝶呤和明胶海绵条栓塞,4~5 d 后在宫腔镜下行清宫术。结果：50例病人手术均一次成功。实施双侧子宫动脉化疗栓塞术中未见病人明显出血,病人术中生命体征平稳,术后清宫时出血量较少,平均约30mL,手术无严重并发症发生。术后随访2~6mo,病人月经均恢复正常。结论：对于子宫瘢痕妊娠的病人,行双侧子宫动脉化疗栓塞术后,宫腔镜治疗子宫瘢痕妊娠具有安全性高、创伤小、疗效好等优点,术后长期随访无严重并发症发生,值得在临床上推广应用。Objective：Discuss the clinical value of uterine scar pcegnancy tieated with bilateral uterine artery embolization combined with methotrexate （ MTX ） chemotherapy. Methods：50 patients with uterine scar pregnancy perfused methotrexate and gelatin sponge embolization in 4 ~ 5 d downstream curettage was carried under hysteroscopy. Results：50 patients were operated a success. The surgery of bilateral uterine artery chemoembolization in patients had no evidence of bleeding,and they had stable vital signs. The Curettage had less postoperative bleeding with an average of about 30ml,they had surgery without serious complications. Patients were followed up from 2 to 6months, they all returned to normal menstruation. Conclusion：For the patients with uterine scar pregnancy, operated with bilateral uterine artery chemoembolization,hysteroscopic treatment of uterine scar pregnancy has the advantages of safe,minimally invasive,effective,etc,and after long-term follow-up without serious complication,it is worth in the clinical applications.

关 键 词：剖宫产切口瘢痕妊娠 子宫动脉栓塞 甲氨蝶呤 

分 类 号：R713.4[医药卫生—妇产科学]