摘要
目的探讨子宫动脉化疗灌注加栓塞术在治疗宫颈妊娠中的作用。方法对25例宫颈妊娠患者行选择性双侧子宫动脉插管,灌注甲氨蝶呤(MTX),后用明胶海绵颗粒栓塞双侧子宫动脉,1周后行刮宫手术。结果25例患者均成功行双侧子宫动脉化疗灌注加栓塞术,术后1周行刮宫手术,手术顺利,出血量少,未出现严重并发症。结论子宫动脉化疗灌注加栓塞术联合刮宫手术是保守治疗宫颈妊娠的一种安全有效的方法。
Objective To explore the effect of chemotherapy and embolization of uterine artery on cervical gestation. Methods Twenty-five patients with cervical gestation were intubated in bilateral uterine arteriae, and then perfused with methotrexat through the catheters. After that, the bilateral uterine arteriae were embolized with grains of gelatin sponge. After a week, the uterine curettage was carried out. Results Chemotherapy and embolization of uterine artery were successfully executed in all cases. After a week, the uterine curettage was done smoothly with little hemorrhage during operation. Conclusion Chemotherapy and embolization of uterine artery provides a secure guarantee for the conservative treatment of patients with cervical gestation.
出处
《山西医科大学学报》
CAS
2008年第7期658-659,共2页
Journal of Shanxi Medical University
基金
山西省科技攻关计划基金资助项目(2006031088-03)
关键词
宫颈妊娠
子宫动脉
栓塞
介入放射学
cervical gestation
uterine artery
embolism
interventional radiology
