摘要
目的探讨不同方法治疗宫颈妊娠的临床效果。方法回顾性分析10例宫颈妊娠患者的临床资料。结果 2例因误诊致人工流产术中大出血,1例因大出血行全子宫切除,1例清除妊娠囊后局部缝合止血并注射氨甲喋呤;7例行甲氨喋呤胎囊局部注射治疗,其中5例单纯局部用药治疗成功,1例药物治疗后联合清宫术,1例治疗后2个月因阴道大出血行子宫动脉栓塞+清宫术;1例因大出血急诊行子宫动脉栓塞术+清宫术;10例患者均治愈。结论对宫颈妊娠患者临床应根据具体情况采取个体化联合治疗方法。
Objective To evaluate the effect of different methods on cervical pregnancy. Methods The clinical data of 10 cases of cervical pregnancy were retrospectively analyzed. Results In two patients with severe hemorrhage during abortion due to misdiagnosis, one patient received hysterectomy, the other patient received local suturing hemostasis and injection of methotrexate after removing gestational sac. In seven patients received local injection of methotrexate in gestational sac, five cases achieved success results, one case was performed curettage after injection, and one case was performed curettage after uterine artery embolization due to severe hemorrhage two months after injection. One patient underwent emergency uterine artery embolization plus curettage because of severe hemorrhage. All patients were cured. Conclusion Methotrexate is a simple and effective method for cervical pregnancy. Individual and combined therapy should be selected according to the different status of patients with cervical pregnancy.
出处
《中华实用诊断与治疗杂志》
2015年第7期678-679,共2页
Journal of Chinese Practical Diagnosis and Therapy
关键词
宫颈妊娠
甲氨喋呤
保守治疗
子宫动脉栓塞
Cervical pregnancy
methotrexate
conservative treatment
uterine artery embolization
