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目的:研究经导管化疗栓塞子宫动脉治疗子宫疤痕妊娠合并出血患者的临床效果。方法:将该院确诊为子宫疤痕妊娠合并出血患者23例作为研究对象,采用导管栓塞子宫动脉技术,经导管向动脉中灌注甲氨蝶吟(MTX)45 mg,给予明胶海绵条(2 mm×10 mm)栓塞动脉。结果:所有患者均插管成功,栓塞后停止出血,4例患者未行清宫术,妊娠组织自行脱落;19例患者行清宫术后妊娠组织脱落;无切除子宫患者;患者除下腹疼痛外无并发症发生,出院后3个月内无阴道出血情况。结论:经导管化疗栓塞子宫动脉治疗子宫疤痕妊娠合并出血患者的临床效果显著,阴道出血量少,子宫切除率低。
Objective: To study the clinical effect of transcatheter arterial chemoembolization of uterine artery in patients with uterine scar pregnancy complicated with bleeding. Methods: A total of 23 patients with uterine scar pregnancy complicated with hemorrhage were enrolled in this study. Arterial catheterization of methotrexate (MTX) 45 mg was given by catheter embolization of uterine artery. Gelatin sponge strips (2 mm × 10 mm) to embolize the artery. Results: All patients were intubated successfully, stopping the bleeding after embolization. In 4 patients, the curettage was not performed and the pregnancy tissue shed off spontaneously. Twenty-nine patients underwent removal of the uterus after the curettage; the patients had no resection of the uterus; Symptoms, no vaginal bleeding within 3 months after discharge. Conclusion: Transcatheter arterial chemoembolization of uterine artery for the treatment of uterine scar pregnancy with bleeding in patients with significant clinical results, less vaginal bleeding, hysterectomy rate is low.