论文部分内容阅读
目的探讨剖宫产切口瘢痕妊娠(CSP)的影像学特点并分析子宫动脉化疗栓塞术(UACE)治疗的临床效果。方法回顾性分析2010-01~2014-10该院收治的26例CSP患者的临床资料,先分析CSP影像特点及对临床指导意义,再经双侧子宫动脉各灌注甲氨蝶呤(methotrexate,MTX)50 mg、庆大霉素8万U,再以明胶海绵栓塞,术后24~72 h时行清宫术。结果 CSP影像特点能为UACE术后个体化治疗方案提供准确依据,UACE操作成功率为100%,清宫术中出血量为50~150 ml,无严重并发症发生。结论 UACE配合清宫术能明显降低子宫切除和丧失生育能力的风险,为CSP患者最佳治疗的选择。
Objective To investigate the imaging features of cesarean section scar pregnancy (CSP) and analyze the clinical effect of uterine arterial chemoembolization (UACE). Methods The clinical data of 26 patients with CSP admitted to our hospital from January 2010 to October 2014 were retrospectively analyzed. The features of CSP and its clinical significance were analyzed. Methotrexate (MTX) ) 50 mg, gentamicin 80,000 U, and then gelatin sponge embolization, curettage after 24 to 72 h. Results The characteristics of CSP images could provide an accurate basis for the individualized treatment of UACE. The success rate of UACE was 100%. The amount of bleeding during the curettage was 50 ~ 150 ml. There was no serious complication. Conclusion UACE combined with curettage can significantly reduce the risk of hysterectomy and loss of fertility, the best treatment for CSP patients.