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目的探讨子宫动脉化疗栓塞治疗剖宫产子宫瘢痕妊娠的临床应用价值。方法对22例剖宫产子宫瘢痕妊娠的患者进行双侧子宫动脉内灌注甲氨蝶呤(MTX)和明胶海绵条栓塞,3～5d后行清宫术。结果 22例患者均成功实施了子宫动脉化疗栓塞,清宫时出血量平均20ml,无严重并发症。随访2～3个月,月经均恢复正常。结论子宫动脉化疗栓塞是治疗剖宫产子宫瘢痕妊娠的一种很有价值的方法,值得临床推广使用。
Objective To investigate the clinical value of uterine arterial chemoembolization in the treatment of cesarean section uterine scar pregnancy. Methods 22 cases of cesarean uterine scar pregnancy patients with bilateral uterine artery infusion of methotrexate (MTX) and gelatin sponge embolization, 3 ~ 5d after radical curettage. Results Twenty-two patients were successfully treated with uterine arterial chemoembolization. The mean amount of bleeding during the operation was 20ml without serious complications. Follow-up 2 to 3 months, menstruation returned to normal. Conclusion Uterine arterial chemoembolization is a valuable method for the treatment of cesarean uterine scar pregnancy and is worthy of clinical promotion.