论文部分内容阅读
目的:探讨子宫动脉灌注化疗栓塞联合宫腔镜下电切术治疗子宫切口妊娠的临床价值。方法:回顾性分析20例子宫切口妊娠患者的资料,均行双侧子宫动脉灌注氨甲蝶呤(MTX),并使用明胶海绵粉和颗粒栓塞子宫动脉,栓塞术后24 h观察血人绒毛膜促性腺激素(β-HCG)值与手术前变化,第7天实施宫腔镜下电切术。结果:20例患者双侧子宫动脉插管成功率100%。造影后经导管注入化疗药物及栓塞剂栓塞双侧子宫动脉,术后无严重并发症,术后24 h血β-HCG与术前比较明显下降,术后第7天行宫腔镜下电切术,出血量少,在10～30 ml之间。结论:子宫动脉灌注化疗栓塞联合宫腔镜电切术可有效地杀死胚囊,易于切除胚胎组织,防止发生致命性大出血,缩短病程,保全了患者的生育能力和生命安全。
Objective: To investigate the clinical value of uterine arterial chemoembolization combined with hysteroscopic electrotomy for uterine incision pregnancy. Methods: The data of 20 cases of uterine incision pregnancy were retrospectively analyzed. Methotrexate (MTX) was infused into both uterine arteries and uterine arteries were embolized with gelatin sponge powder and particles. Blood chorion was observed 24 hours after embolization Gonadotropin (β-HCG) values and preoperative changes, the first 7 days of hysteroscopic resection. Results: The success rate of bilateral uterine artery cannulation in 20 patients was 100%. After angiography catheterized chemotherapy drugs and embolization embolization bilateral uterine artery, no serious complications after surgery, blood β-HCG 24 h after surgery compared with preoperative significantly decreased, the first 7 days after hysteroscopic resection , Less bleeding, between 10 ~ 30 ml. Conclusion: Uterine arterial chemoembolization combined with hysteroscopic resection can effectively kill embryo sac, easy to excise embryo, prevent fatal hemorrhage, shorten the course of disease, and preserve the patient’s fertility and life safety.