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目的:探讨子宫动脉介入治疗疤痕妊娠的临床治疗价值。方法:14例子宫疤痕妊娠患者中,11例行子宫动脉介入灌注甲氨蝶呤及明胶海绵栓塞术,3例清宫术中大出血行明胶海绵栓塞术,观察临床疗效并进行分析。结果:所有患者术后7天血β-HCG明显下降,8例患者要求尽快清除妊娠物,于术后7天行清宫术,术中出血均小于50ml,6例未行清宫,自行排出,3例大出血患者立即止血,全部患者2～3个月后恢复月经,无严重并发症。结论:子宫动脉介入治疗子宫疤痕妊娠疗效确切,应作为本病的首选治疗方法。
Objective: To investigate the clinical value of uterine artery interventional treatment of scar pregnancy. Methods: Among 14 patients with uterine scar pregnancy, 11 patients underwent uterine arterial infusion of methotrexate and gelatin sponge embolization, and 3 patients underwent radical gelatin sponge embolization. The clinical curative effect was observed and analyzed. Results: The blood β-HCG decreased significantly in all patients 7 days after operation. Eight patients were required to clear the pregnancy as soon as possible. The curettage was performed 7 days after operation. The hemorrhage was less than 50ml in 6 days. Cases of bleeding immediately stop bleeding, all patients recover after 2 to 3 months of menstruation, no serious complications. Conclusion: Uterine artery interventional treatment of uterine scar pregnancy exact effect, should be used as the preferred treatment of this disease.