摘要
目的评估双侧子宫动脉化疗栓塞术(UACE)治疗宫颈妊娠的临床价值。方法回顾性分析40例宫颈妊娠患者双侧子宫动脉化疗栓塞前后的临床资料。结果 40例患者中,8例患者因宫颈妊娠行清宫术发生阴道大出血而采用急诊子宫动脉化疗栓塞介入治疗,32例患者采用子宫动脉化疗栓塞序贯超声引导下清宫术治疗。所有存在阴道出血患者于介入术后均停止出血。UACE术后行清宫术治疗过程中,所有患者均未出现大出血等严重并发症。1个月后复查,所有患者血β-HCG均完全降至正常水平。结论 UACE术可用于宫颈妊娠患者清官术中大出血的紧急止血治疗,而UACE术序贯超声引导下清宫术治疗可以作为一种安全有效治疗宫颈妊娠的新策略。
Objective To assess the clinical value of bilateral uterine artery chemotherapy embolization （UACE） for cervical ectopic pregnancy. Methods Clinical records of 40 patients with cervical eetopic pregnancy treated using UACE were retrospectively analyzed. Results 8 patients with severe active vaginal bleeding after curettage were treated urgently with UACE. The remaining 32 patients were treated with UACE combined with sequential ultrasound-guided curettage. Active vaginal bleeding was stopped after UACE. There was no recurrent hemorrhage with the sequential ultrasound-guided curettage procedure.The β-HCG levels of all patients were normalized after 1 month. Conclusion Bilateral uterine artery chemotherapy embolization is valuable as emergency treatment for patients with severe vaginal bleeding from cervical ectopic pregnancy.UACE combined with sequential ultrasound-guided curettage may be more effective.
出处
《影像诊断与介入放射学》
2011年第6期453-456,共4页
Diagnostic Imaging & Interventional Radiology
关键词
宫颈妊娠
异位妊娠
子宫动脉栓塞
甲氨蝶呤
Cervical ectopic pregnancy
Heterotopic pregnancy
Uterine artery embolization
Methotrexate
