摘要
目的探讨宫颈妊娠的临床观察与护理。方法回顾性分析宫颈妊娠病例9例,行全子宫切除术3例占33.3%;保守治疗6例,其中行甲胺蝶呤(MTX)全身化疗3例,行5-Fu宫颈局部多点注射化疗1例,行选择性双侧子宫动脉灌注MTX+栓塞术2例,均1周后在B超监视下行钳刮术。结果6例经保守治疗后血β-HCG明显下降,钳刮顺利,出血很少,效果满意。结论妊娠妇女体检时如出现宫颈增大、子宫正常体征,应考虑宫颈妊娠的可能,宫颈妊娠的保守治疗方法中,全身或局部化疗、子宫动脉栓塞术安全,疗效确切,既避免了手术损伤,也满足了患者的生育要求。采取相应的护理对策对宫颈妊娠安全有效,良好的护理可加速病人康复进程。
Objective To explore the clinical observation and nursing of cervical pregnancy. Methods 9 patients with cervical pregnancy were analyzed retrospectively. Among them, 3 patients underwent hysterectomy because of uncontrollable profuse bleeding and shock （33.3%） 6 patients were treated conservatively, and 3 cases of them were given systemic chemotherapy with MTX, 1 case was given multiple injection in cervix localization with 5-Fu, 2 cases were given superselestive uterine artery embolization. The removal of gestional material was fulfilled successfully under B-US one week after the conservative therapy. Results There was remarkable decrease of serum β- HCG level after the conservative therapy, and gestional material was removed smoothly with less bleeding and satisfactory effect. Conclusions The possibility of cervical pregnancy should be considered when enlarged cervix and normal uterus are found in routine examination of pregnant women. As for the conservative therapy of cervical pregnancy, systemic or local chemotherapy and uterine artery embolization are safe and effective, and effective nursing is necessary.
出处
《现代护理》
2006年第6期525-526,共2页
Modern Nursing
关键词
宫颈妊娠
甲胺蝶呤
临床观察
护理
Cervical pregnancy
MTX
Conservative therapy
Nursing
