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目的研究经导管选择性动脉栓塞术(TSAE)在治疗宫颈妊娠中的作用。方法对12例宫颈妊娠患者,采用经皮盆腔动脉超选择性插管术,并应用动脉血管造影技术明确部位后行选择性动脉栓塞术,结合清宫治疗。结果初步就诊时超声波检查诊断明确10例,经TSAE治疗后一次性终止妊娠,出血较少,另2例误诊为早孕难免流产,宫颈妊娠大出血,患者经TSAE治疗后一次性止血成功。结论 TSAE对宫颈妊娠有满意疗效。
Objective To investigate the role of transcatheter arterial chemoembolization (TSAE) in the treatment of cervical pregnancy. Methods Twelve patients with cervical pregnancy were treated with percutaneous transhepatic selective catheterization and selective arterial embolization with arterial angiography. Results In the initial diagnosis, 10 cases were diagnosed by ultrasonography. One time termination of pregnancy after TSAE treatment resulted in less bleeding. The other 2 cases were misdiagnosed as early pregnancy with unacceptable miscarriage and cervical pregnancy bleeding. One-time hemostasis was achieved after TSAE treatment. Conclusion TSAE cervical pregnancy have a satisfactory effect.