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目的:评价经子宫动脉化疗灌注栓塞及刮宫术联合应用治疗宫颈妊娠的疗效。方法:对12例宫颈妊娠患者行双侧子宫动脉选择性插管,灌注甲氨蝶呤(methotrexate,MTX)后,再用明胶海绵颗粒栓塞双侧子宫动脉,1周内在B超引导下行刮宫术。结果:12例患者均成功施行了子宫动脉化疗灌注加栓塞术,1周内顺利行刮宫术,术中出血量少。结论:子宫动脉化疗灌注加栓塞术联合刮宫术治疗宫颈妊娠疗效确切,是一种安全有效的保守治疗方法,值得推广应用。
Objective: To evaluate the curative effect of uterine artery chemoembolization and curettage in the treatment of cervical pregnancy. Methods: Twelve patients with cervical pregnancy underwent bilateral uterine artery selective intubation and methotrexate (MTX) infusion, followed by embolization of bilateral uterine artery with gelatin sponge particles, guided by B-ultrasound in one week . Results: Twelve patients underwent successful uterine arterial chemoembolization and embolization. The patients underwent curettage within one week with less bleeding during operation. Conclusion: Uterine artery chemotherapy combined with chemoembolization and curettage in the treatment of cervical pregnancy is effective, which is a safe and effective method of conservative treatment. It is worth popularizing and applying.