生殖医学杂志2010，Vol.19Issue(z2)：44-48,5.DOI:10.3969/j.issn.1004-3845.2010.z2.009
Clinical efficacy of superselective arterial embolization in the treatment of hemorrhage from malignant gestational trophoblastic tumor
Clinical efficacy of superselective arterial embolization in the treatment of hemorrhage from malignant gestational trophoblastic tumor
Geng Shuo 1Wan Xi-run 2Xiang Yang 3Feng Feng-zhi 3Yang Xiu-yu 3Li Xiao-guang 3Liu Wei 3Yang Ning3
作者信息
- 1. Department of Obstetrics & Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
- 2. Department of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
- 折叠
摘要
Abstract
Objective: To evaluate the efficacy of superselective arterial embolization in controlling hemorrhage from malignant gestational trophoblastic tumor. Methods: From February 1990 to January 2008, 44 patients with hemorrhage from malignant gestational trophoblastic tumor (including 29 cases of choriocarcinoma and 15 cases of invasive mole) were treated with superselective arterial embolization. The hemorrhage sites included uterus (40 cases), cervical metastasis (1 case) and vaginal metastasis (3 cases).Results: In 41 cases (93.2 %), superselective arterial embolization successfully controlled the hemorrhage. Hysterectomy was performed in the 3 failed cases and uterine perforation was revealed by laparotomy. Five patients had normal term delivery after successful superselective arterial embolization and chemotherapy, and two patients are now in the healthy second trimester of pregnancy.Conclusion: Superselective arterial embolization can effectively control the hemorrhage from malignant gestational trophoblastic tumor.关键词
Trophoblastic neoplasm/Embolization/Therapeutic/HemorrhageKey words
Trophoblastic neoplasm/Embolization/Therapeutic/Hemorrhage分类
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Geng Shuo,Wan Xi-run,Xiang Yang,Feng Feng-zhi,Yang Xiu-yu,Li Xiao-guang,Liu Wei,Yang Ning..Clinical efficacy of superselective arterial embolization in the treatment of hemorrhage from malignant gestational trophoblastic tumor[J].生殖医学杂志,2010,19(z2):44-48,5.
