| 陈广,郑秀凤,吕连弟,贺文,马大庆.子宫动脉化疗栓塞术联合刮宫术治疗剖宫产瘢痕妊娠[J].中国介入影像与治疗学,2013,10(10):585-587 |
| 子宫动脉化疗栓塞术联合刮宫术治疗剖宫产瘢痕妊娠 |
| Uterine arterial chemoembolization combined with curettage in treatment of cesarean scar pregnancy |
| 投稿时间：2013-06-08 修订日期：2013-07-03 |
| DOI： |
| 中文关键词: 子宫切口瘢痕妊娠 栓塞,治疗性 刮宫术 氨甲蝶呤 |
| 英文关键词:Cesarean scar pregnancy Embolization, therapeutic Dilatation and curettage Methotrexate |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨子宫动脉化疗栓塞术(UACE)联合刮宫术治疗剖宫产瘢痕妊娠(CSP)的安全性和有效性。方法 对33例CSP患者行选择性双侧子宫动脉插管造影,灌注氨甲蝶呤(MTX)和明胶海绵颗粒栓塞后24～48 h内进行刮宫术,评价术后疗效。结果 对所有患者均成功完成UACE;刮宫术中出血(24.62±12.53)ml。未见严重并发症发生。结论 UACE联合刮宫术治疗CSP微创、安全、有效,可避免子宫切除,保留患者生育能力。 |
| 英文摘要: |
| Objective To discuss the safety and feasibility of uterine artery chemoembolization (UACE) combined with curettage in treating cesarean section scar pregnancy (CSP).Methods Totally 33 CSP patients underwent bilateral UACE with MTX and gelfoam particles. Then curettage was carried out 24—48 h after UACE. The therapeutic results were observed and analyzed.Results UACE was successfully performed in all the patients. The blood loss during curettage was (24.62±12.53)ml. No serious complications occurred.Conclusion UACE combined with curettage is minimally-invasive, safe and effective in treatment of CSP, is able to avoid uterectomy and preserve the fertility of patients. |
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