宫颈妊娠血管性介入治疗3例临床分析(1)
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[摘要] 目的 探讨血管性介入治疗在宫颈妊娠中的应用价值。 方法 分析2010年1月～2011年12月来我院实施选择性子宫动脉甲氨蝶呤灌注冲击联合明胶海绵栓塞治疗的3例宫颈妊娠患者，术后24 h内行刮宫术，并对患者术后进行超声、血HCG、月经恢复情况、术后2年内妊娠情况随访。 结果 3例患者血管性介入治疗均获得成功，刮宫术中出血为15～50 mL，治疗前后均未发现严重的并发症，且术后血HCG值20 d内全部恢复正常；3例患者中除1例既往月经不规律术后月经未转为正常外，其余2例均恢复规律月经并成功妊娠。 结论 血管性介入治疗能明显降低宫颈妊娠刮宫术中大出血的风险，且可能并不影响患者生育功能，是一项安全且有效的宫颈妊娠保守治疗方法。
[关键词] 介入治疗；子宫动脉；宫颈妊娠
[中图分类号] R713.8 [文献标识码] A [文章编号] 1673-7210(2012)08(b)-0047-03
Clinical analysis about vascular interventional treatment in 3 cases of cervical pregnancy
LIU Qing1 WU Guixiang1 WU Zhonggen2 ZHUANG Xiaolan1▲
1. Department of Gynaecology and Obstetrics, the People's Hospital of Ji'an City, Jiangxi Province, Ji'an 343000, China;
2. Department of Radiation, the People's Hospital of Ji'an City, Jiangxi Province, Ji'an 343000, China
[Abstract] Objective To investigate the value of the vascular interventional therapy in cervical pregnancy. Methods 3 cases of cervical pregnancies in our hospital in the past two years were analysised, these patients were implemented the impact of methotrexate combining with gelatin sponge embolization by uterine artery infusion, the curettage carried out after surgery 24 hours, and pelvic ultrasound, blood HCG, menstruation recovery, the situation of pregnancy after surgery 2 years were followed up. Results Vascular interventions were successful in 3 patients, the bleedings were 15-50 mL in the curettages, no serious complications occurred during treatment, serum HCG of patients were decreased to normal values within 20 days after surgery. Except for 1 case due to irregular menstrual history, and the remaining 2 patients recovered regular menstruation and successfully pregnancied after 2 years ......
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