新医学2012，Vol.43Issue(7)：444-447,4.DOI:10.3969/g.issn.0253-9802.2012.07.003
子宫动脉化学治疗栓塞术在剖宫产术后
Application of uterine chemoembolization in treating cesarean scar pregnancy
刘玉昆 1李维艳 1刘梅兰 1刘颖琳 1谭剑平 1张建平1
作者信息
- 1. 中山大学孙逸仙纪念医院妇产科,510120
- 折叠
摘要
Abstract
Objective: To investigate the clinical significance of uterine artery chemoembolization ( UACE) in the treatment of cesarean scar pregnancy (CSP). Methods; UACE, which was performed via bilateral uterine artery infusion of MTX (50 ?100 mg) and subsequent uterine artery embolization with Gelfoam , was carried out in 15 patients with CSP. Curettage , hysteroscopy electro resection or MTX local injection was carried out after UACE. Results; UACE were successfully performed in all 15 patients with CSP. Emergent UACE was performed successfully in 4 cases due to excessive vaginal bleeding. Curettage was carried out in 6 cases after UACE. Blood loss during the curettage procedure was mild except for one case. Hysteroscopy electro resection was carried out in 5 cases. Blood loss during the operation was mild except for one with complicated excessive bleeding during operation , requiring local resection and uterine repair by laparotomy. Local MTX injection was carried out in 3 cases after UACE. Fifteen patients were successfully cured requiring no hysterectomy . Conclusion: UACE can improve the safety of curettage and hysteroscopy electro resection.关键词
剖宫产术后瘢痕处妊娠/子宫动脉化学治疗栓塞术/清宫术Key words
Cesarean scar pregnancy / Uterine artery chemoembolization / Curettage引用本文复制引用
刘玉昆,李维艳,刘梅兰,刘颖琳,谭剑平,张建平..子宫动脉化学治疗栓塞术在剖宫产术后[J].新医学,2012,43(7):444-447,4.
