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目的探讨子宫动脉栓塞化疗术联合宫腔镜手术治疗宫颈妊娠的疗效及安全性。方法对6例宫颈妊娠患者行双侧子宫动脉栓塞化疗后3~5 d内行宫腔镜下妊娠组织物清除术,观察其临床效果。结果 6例患者均成功清除妊娠组织,术中出血少,术后2~4周血清人绒毛膜促性腺激素β-亚基(β-HCG)均降至正常水平,术后1~3个月月经恢复来潮。结论子宫动脉栓塞化疗既可以杀死胚胎,又能预防术中大出血,保留患者生育功能,二者联合治疗宫颈妊娠伤害小、恢复快、安全性高,值得临床推广应用。
Objective To investigate the efficacy and safety of uterine artery embolization and chemotherapy combined with hysteroscopy in the treatment of cervical pregnancy. Methods 6 cases of cervical pregnancy patients underwent bilateral uterine artery embolization chemotherapy 3 to 5 days after hysteroscopic pregnancy removal of tissue and observe its clinical effect. Results All the 6 patients were successful in removing the pregnant tissue. There were few bleeding during operation. Serum human chorionic gonadotropin β-subunit (β-HCG) decreased to normal levels 2 to 4 weeks after operation, Menstruation resurgence. Conclusion Uterine artery embolization chemotherapy can kill embryos, but also prevent intraoperative bleeding, to retain the patient’s reproductive function, the combination of the two treatment of cervical pregnancy injury, rapid recovery, high safety, worthy of clinical application.