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目的探讨子宫疤痕妊娠(CSP)早孕终止妊娠时应用双侧子宫动脉栓塞术加化疗的治疗价值。方法本组8例CSP患者均由B超证实为子宫疤痕妊娠(早孕),要求终止妊娠,在DSA下,采用Seldinger法先行猪尾巴导管腹主动脉造影,分别经导管于双侧子宫动脉内明胶海绵条栓塞,栓塞后再行人流术,术后予甲氨蝶呤化疗药物杀死残存的组织。结果 8例CSP患者全部栓塞成功,人流术经过顺利,术中出血少,随访1～2个月无大出血,月经正常来潮。结论行双侧子宫动脉栓塞术后配合化疗,再行刮宫术,用于子宫疤痕妊娠的早孕终止妊娠方法,既安全、有效,又无严重并发症发生,值得临床推广使用。
Objective To investigate the therapeutic value of bilateral uterine arterial embolization plus chemotherapy in the termination of pregnancy of uterine scar pregnancy (CSP) in early pregnancy. Methods 8 cases of CSP patients were confirmed by B-ultrasound for uterine scar pregnancy (early pregnancy), termination of pregnancy, under the DSA, using Seldinger method of pig tail catheter abdominal aortography, respectively, by catheter in bilateral uterine artery gelatin Sponge embolization, embolization and then abortion, postoperative methotrexate chemotherapy drugs to kill the remaining tissue. Results All the 8 patients with CSP had successful embolization. The abortion was successful and the blood loss was low. There was no major bleeding in one to two months follow-up and the menstruation was normal. Conclusions Bilateral uterine artery embolization combined with chemotherapy, followed by curettage, pregnancy termination of pregnancy for uterine scar pregnancy method, safe and effective, without serious complications, it is worth promoting the use of the clinic.