摘要
目的：将双侧子宫动脉栓塞术应用于宫颈或切口妊娠中止前，期望减少人工流产手术的危险性和出血量。材料和方法：12例宫颈或切口妊娠患者，术前采用明胶海绵进行双侧子宫动脉超选择性栓塞术，术后即刻或24h左右进行清宫手术，观察术中出血量和术后伴发症状。结果：双侧子宫动脉栓塞治疗过程非常顺利，12例清官手术均安全顺利完成，出血量仅10～20ml，没有出现栓塞术或清官手术的并发症。术后随访血液HCG均在4周内消失。结论：宫颈妊娠或切口妊娠在清官手术前进行双侧子宫动脉栓塞的辅助治疗，安全性好，并发症少，操作简单，可有效地控制官颈或切口妊娠中止手术中的出血量。
Purpose： Before the induced abortion procedure for the patients with pregnancy on the uterine neck or incision area, bilateral uterine artery embolization was conducted in order to reduce the risk of fatalness and possibility of massive hemorrhage. Materials and Methods： 12 patients with pregnancy on the uterine neck or incision area were admitted. Bilateral uterine artery embolization was performed using gelfoam pledgets. After the procedure, abortion was carried out immediately or after 24h. The amount of hemorrhage during the abortion procedure and post - op complications were monitored and recorded. Results： The embolization procedures were performed smoothly. The artificial abortion was safely conducted. No complication was observed. The amount of hemorrhage was less than 20 ml for each case. Follow - up test of blood HCG level demonstrated a gradual decrease and clear away in 4 weeks. Con3clusion： As an assistant procedure, bilateral artery embolization before induced abortion for the patients with pregnancy on the uterine neck or incision area was safe and simply performable. It can effectively reduce the amount of hemorrhage during abortion procedure with no complications.
出处
《中国医学计算机成像杂志》
CSCD
2006年第3期200-202,共3页
Chinese Computed Medical Imaging
关键词
子宫动脉栓塞术
宫颈妊娠
切口妊娠
人工流产
Uterine artery embolization
Neck Pregnancy
Incision area pregnancy
Induced abortio
