[摘要] 目的:探讨经子宫动脉灌注、栓塞治疗宫颈妊娠的安全性和疗效。方法:采用Seldinger技术,对5例宫颈妊娠患者进行选择性子宫动脉造影和灌注甲氨蝶呤(MTX)50~70 mg,再用明胶海绵颗粒(直径1~3 mm)和甲氨蝶呤10 mg混合后栓塞子宫动脉。术后观察临床症状和监测血液β-HCG变化,择期行清宫术。结果:5例均获得成功。结论:经子宫动脉介入治疗宫颈妊娠的方法安全、有效、无严重并发症发生。

    [关键词] 介入放射学;宫颈管;妊娠;治疗

    [中图分类号] R714.226[文献标识码] B[文章编号] 1673-7210(2010)06(a)-162-02

    The uterus artery interventional treatment of cervical pregnancy

    CHENG Jinghui

    (Radioiogy Department of Maternity & Child Health Hospital of Shanxi Province, Xi′an710003, China)

    [Abstract] Objective: To investigate the safety and the curativ effect of the cervical pregnancy treatment through the arteria uterine irrigation and embolism. Methods: We carried on choic arteria uterine radiography for 5 cases of cevical pregnancy patients with the seldinger technique, and poured into 50-70 mg MTX, then embolismed the arteriauterine with the mixture of gelatin sponge granula and 10 mg MTX, and observed the clinical symptom and β-HCG change after the operation and performed uterine curettage in later certain time. Results: All 5 cases succeeded. Conclusion: Treating cevical pregnancy through the arteria uterine interventional technique is safe, effective and has no serious complications. ......