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目的:分析经子宫动脉化疗药物灌注、栓塞及刮宫术联合应用在宫颈妊娠治疗中的价值。方法:12例宫颈妊娠患者行选择性子宫动脉灌注甲氨蝶呤(MTX)、明胶海绵栓塞,1周内行刮宫术。术后监测-βHCG值的变化、月经恢复时间、并发症等。结果:12例患者均治疗成功,术后顺利行刮宫术,出血量少,术后-βHCG下降,无严重并发症。结论:子宫动脉药物灌注、栓塞术联合刮宫术可减少宫颈妊娠手术的出血,降低手术风险。
Objective: To analyze the value of uterine arterial chemoembolization combined with embolization and curettage in the treatment of cervical pregnancy. Methods: Twelve cases of cervical pregnancy underwent selective uterine arterial infusion of methotrexate (MTX), gelatin sponge embolization, curettage within 1 week. Postoperative monitoring - changes in βHCG values, menstrual recovery time, complications and so on. Results: All the 12 patients were successfully treated. The curettage was successful after operation, the amount of bleeding was less, the degree of postoperative β-ICG decreased, and no serious complication occurred. Conclusion: Uterine artery drug infusion, embolization combined with curettage can reduce the bleeding of cervical pregnancy surgery, reduce the surgical risk.