双侧子宫动脉氨甲喋呤灌注加栓塞治疗宫颈妊娠11例效果分析

被引：30

作者：

黎雪琴 ^{[1
]}

王巧兮 ^{[2
]}

张建廷 ^{[1
]}

高永新 ^{[1
]}

机构：

[1] 武警湖北总队医院放射科

[2] 武汉大学人民医院放射科

来源：

中国介入影像与治疗学 | 2007年 / 01期

关键词：

宫颈妊娠; 子宫动脉; 栓塞,治疗性;

D O I：

10.13929/j.1672-8475.2007.01.011

中图分类号：

R714.22 [异位妊娠（子宫外孕）];

学科分类号：

100211 ;

摘要：

目的探讨双侧子宫动脉氨甲喋呤灌注加栓塞对宫颈妊娠的治疗效果。方法临床确诊宫颈妊娠伴阴道出血患者11例,急诊治疗。双侧子宫动脉插管、造影,分别灌注氨甲喋呤(MTX),然后用明胶海绵微粒或明胶海绵微粒加少量丝线微粒栓塞。结果宫颈妊娠孕囊由子宫动脉供血,部分以一侧为主,8例见对比剂外溢。双侧子宫动脉栓塞完毕,阴道出血明显减少。术后血β-HCG进行性下降。9例胚胎自行排出。2例行宫颈搔刮术,术中出血量不多,刮出物为陈旧性胎盘组织。胚胎排出或刮出后阴道出血完全停止。结论双侧子宫动脉化疗栓塞治疗宫颈妊娠效果良好,达到了预防和终止阴道大出血、保留子宫的目的。

引用

页码：39 / 41

页数：3

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