论文部分内容阅读
目的:探讨微创介入治疗对于罕见、少见位置异位妊娠的治疗作用。方法:采用经股动脉穿刺、超选择灌注及栓塞的方法对38例不同妊娠部位的异位妊娠患者进行微创介入治疗,包括脾异位妊娠1例,宫角异位妊娠1例,疤痕子宫妊娠20例,宫颈妊娠8例,宫旁妊娠4例。术中造影确定异位妊娠所在位置及供血动脉,采用甲氨蝶呤75 mg稀释后缓慢灌注。脾异位妊娠采用碘油混合甲氨蝶呤的方法进行栓塞后自制明胶海绵颗粒栓塞动脉至血流减慢,栓塞后行动脉造影异常染色消失。结果:全组38例在接受介入治疗后临床治愈;血HCG化验结果在介入术后缓慢恢复正常;术后反应为明显的栓塞后综合征表现,出现腹痛,发热症状,对症治疗后好转。结论:超选择性动脉灌注栓塞治疗异位妊娠,能有效杀灭胚胎组织,栓塞破裂血管,止血效果明显,避免手术创伤。
Objective: To investigate the therapeutic effect of minimally invasive interventional therapy on rare and rare ectopic pregnancy. Methods: Thirty-eight cases of ectopic pregnancy with different gestational sites underwent minimally invasive interventional therapy via femoral artery puncture, superselective perfusion and embolization. One case included ectopic spleen pregnancy, one case of ectopic pregnancy, one case of scar uterus 20 cases of pregnancy, 8 cases of cervical pregnancy, 4 cases of uterine pregnancy. Intraoperative angiography to determine the location of ectopic pregnancy and feeding arteries, methotrexate 75 mg diluted slowly perfusion. Splenic ectopic pregnancy using lipiodol mixed methotrexate method embolization sponge gelatin sponge particles embolization to the blood flow slowed down after arterial embolization anomalous staining disappeared. Results: The whole group of 38 patients were cured after receiving interventional therapy. The result of blood HCG test returned to normal after the interventional surgery. The postoperative reaction was obvious post - embolism syndrome, with abdominal pain and fever symptom. After symptomatic treatment, it improved. Conclusion: Superselective arterial infusion of embolization in the treatment of ectopic pregnancy can effectively kill the embryonic tissue, rupture of blood vessels embolism, hemostatic effect is obvious, to avoid surgical trauma.