摘要
目的评价子宫动脉灌注化疗联合栓塞术治疗子宫切口瘢痕妊娠（CSP）的疗效。方法回顾分析我院15例剖官产后CSP的治疗方法及结果。结果所有患者均采用经导管子宫动脉内注入甲氨蝶呤（MTX）和子宫动脉明胶海绵颗粒栓塞。所有病例均能有效防治出血及保全子宫。其中11例术后5～7天成功行B超定位下清宫术。结论子宫动脉灌注化疗联合栓塞术治疗CSP能有效防治出血，是治疗CSP的可靠方法。
Objective To evaluate the effect of uterine artery perfusion chemotherapy combined with embolization for treatment of cesarean scar pregnancy （ CSP）. Methods A retrospective study was carried out to analyze the treat- ment methods and results of 15 cases with CSP in our hospital. Results All patients were treated by transcatheter uter- ine arterial injection of methotrexate （MTX） and uterine artery embolization （UAE） with gelatin sponge particles. Effec- tive prevention of hemorrhage and preservation of the uterus were successful in all the 15 patients. 11 patients underwent uterine curettage successfully by B ultrasound localization on days 5 -7 after embolization. Conclusion Uterine artery perfusion chemotherapy combined with embolization for treatment of CSP can effectively prevent the hemorrhage, so it is a reliable method of treatment for CSP.
出处
《徐州医学院学报》
CAS
2012年第12期848-850,共3页
Acta Academiae Medicinae Xuzhou
