摘要
目的探讨超选择子宫动脉栓塞及留置导管持续灌注治疗妊娠滋养细胞肿瘤的方法及疗效。方法临床35例妊娠滋养细胞肿瘤患者,采用右股动脉改良Seldinger穿刺技术,超选择插管至一侧子宫动脉,行DSA明确出血部位及子宫病灶后以明胶海绵颗粒栓塞,再留置导管于另一侧子宫动脉内持续灌注5～7天。结果插管成功率100%,子宫动脉出血及病灶异常染色消失,无并发症,临床有效率100%,随访无复发,月经正常,并有1名育龄妇女已怀孕。结论超选择子宫动脉栓塞及留置导管持续灌注介入治疗妊娠滋养细胞肿瘤疗效明确,具有良好的临床应用价值。
Objective To explore the method and effect of treating gestational trophoblastic neoplasia by superseletive uterine artery embolization and indwelling cathter continuous perfusion. Methods Thirty-five patients with gestational trophoblastic neoplasia（GTN） were undertaken superselective cathetization into the uterial arteries to find the causes and sites of bleeding through DSA. Then artertial embolization with gelfoam particles was followed. Continuous perfusion were undertaken by using indwelling cathter in another uterine artery for 5-7 days. Results All of the patients with GTN were successfully controlled by TAE; Uterine artery bleeding and focus abnormal staining disappeared; There were no complications; Clinical effective rate was 100%. There were no recurrence, and menstruations restored normal in all patients. One woman of childbearing age was pregnancy by follow-up survey. Conclusions It is effective and much valuable in clinic with superseletive uterine artery embolization and indwelling cathter continuous perfusiontreating gestational trophoblastic neoplasia.
出处
《当代医学》
2009年第11期180-182,共3页
Contemporary Medicine
关键词
子宫动脉
动脉栓塞
妊娠滋养细胞肿瘤
留置
持续灌注
Uterine artery
Arterial embolization, Gestational trophoblastic neoplasia
Indwelling catheter
Continuous perfusion
