摘要
目的 探讨子宫下段妊娠的临床特点及治疗方法. 方法 回顾性分析2005年1月～2006年2月6例子宫下段妊娠的临床资料. 结果 5例有剖宫产史,另1例妊娠过频.其中2例甲氨蝶呤（MTX）配合子宫动脉栓塞术（uterine artery embolization,UAE）,1例行UAE,1例单纯行MTX治疗,2例行全子宫切除术. 结论 早孕合并子宫瘢痕以及妊娠过频的患者,再次受孕有发生子宫下段妊娠的危险性,在行人工流产时易发生难以控制的大出血,应术前明确诊断.MTX配合UAE是一种安全可靠的治疗方法.
Objective To discuss the diagnosis and management for lower uterine segment pregnancy. Methods Clinical data of 6 cases of lower uterine segment pregnancy between January 2005 and February 2006 were retrospectively analyzed. Results Five patients had a history of caesarean section, while another one had undergone repeated pregnancy. Uterine artery embolization （UAE） in combination with methotrexate （MTX） injection was carried out in 2 cases, and uterine artery embolization only, MTX injection only, and total hysterectomy were employed in 1 ease, 1 ease, and 2 eases, respectively. Conclusions Previous caesarean section and repeated pregnancy are risk factors of the occurrence of lower uterine segment pregnancy. Uterine artery embolization in combination with methotrexate injection is a safe and reliable management option.
出处
《中国微创外科杂志》
CSCD
2006年第6期451-453,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
异位妊娠
子宫瘢痕
子宫动脉栓塞术
Ectopic pregnancy
Caesarean section scar
Uterine artery embolization
