摘要
目的:探讨子宫动脉化疗输注加栓塞术对剖宫产后子宫切口妊娠的应用价值。方法:对9例剖宫产后子宫切口妊娠患者急诊行双侧子宫动脉超选择性插管,输注氨甲喋呤(MTX)后,再用明胶海绵颗粒栓塞双侧子宫动脉,1周内再在B超引导下行刮宫术或吸宫术。结果:9例患者均成功施行了子宫动脉化疗输注加栓塞术,1周内顺利行刮宫术或吸宫术,术中出血量少。结论:子宫动脉化疗输注加栓塞术为剖宫产后子宫切口妊娠患者的保守治疗提供了安全保障,使患者避免子宫被切除,是一种安全、有效的治疗方法。
Objective：To study the value of trans uterine artery chemotherapy and embolization of pregnancy located at the uterine incision after cesarean section. Methods： Emergency bilateral super-selective uterine artery catheterization was performed in 9 patients with pregnancy located at the uterine incision after cesarean section. After infusion of methotrexate （MTX） ,gelatin sponge granules were injected for embolization bilaterally. Uhrasonography-guided dilatation and curettage or uterine aspiration was carried out within 1 week afterwards. Results= Trans-uterine artery chemotherapy and embolization in combination with uhrasonography guided dilatation and curettage or uterine aspiration were successfully carried out in all of the 9 cases with minimal bleeding during the operation. Conclusion：Trans-uterine artery chemotherapy and embolization in combination with uhrasonography-guided dilatation and curettage or uterine aspiration provide a safe and mini-invasive approach for the treatment of pregnancy located at the uterine incision after cesarean section.
出处
《放射学实践》
2006年第9期953-955,共3页
Radiologic Practice
关键词
化学栓塞
治疗性
血管造影术
数字减影
妊娠
异位
Chemoembolization,therapeutic
Angiography,digital subtraction： Pregnancy,ectopic
