子宫动脉化疗栓塞治疗子宫瘢痕妊娠合并大出血13例

王剑; 施万印; 高立兵; 顾金林; 方世月; 张宏; 刘亮

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子宫动脉化疗栓塞治疗子宫瘢痕妊娠合并大出血13例

王剑 , 施万印 , 高立兵 , 顾金林 , 方世月 , 张宏 , 刘亮

文章导航 > 蚌埠医学院学报 > 2013, 37 > 12: (1642-1644)

引用本文:

Citation:

子宫动脉化疗栓塞治疗子宫瘢痕妊娠合并大出血13例

1.
1. 江苏省南京市江宁医院介入放射科, 江苏南京 211100;
2.
2, 南京医科大学附属南京第一医院介入放射科, 江苏南京 210006

作者简介: 王剑(1986－ ),男,住院医师.

通讯作者: 施万印, shwy110@163.com ;

基金项目:

The clinical value of uterine artery chemoembolization in the treatment of hemorrhagic caesarean scar pregnancy in 13 cases

1.
1. Department of Interventional Radiology, Nanjing Jiangning Hospital, Nanjing Jiangsu 211100;
2.
2. Department of Interventional Radiology, Nanjing First Hospital Affiliated to Nanjing Medical University, Nangjing Jiangsu 210006, China

Corresponding author: SHI Wan-yin, shwy110@163.com ;

摘要: 目的:探讨子宫动脉化疗栓塞(UACE)治疗剖宫产后子宫瘢痕妊娠(CSP)合并大出血的临床应用价值。方法:对13例CSP合并大出血患者采用UACE联合灌注甲氨蝶呤50~75 mg,术后嘱患者平卧12~24 h。每3 d复测人绒毛膜促性腺激素,每周复查B超。记录手术成功率、栓塞效果及不良反应。结果:13例患者均成功实施双侧UACE,并止血成功,随访6个月,无再发出血。4例患者出现下腹剧痛,无其他严重并发症发生。结论:UACE治疗CSP合并大出血安全、有效,值得临床推广使用。
- 异位妊娠 /
- 子宫瘢痕妊娠 /
- 出血 /
- 化疗 /
- 子宫动脉
Abstract: Objective: To evaluate the clinical value of uterine artery chemoembolization( UACE) in the treatment of hemorrhagic caesarean scar pregnancy( CSP). Methods: Thirteen patients with hemorrhagic CSP were treated with UACE combined with transarterial perfusion with 50 to 75 mg methotrexate. After treatment,all patients were asked to rest in bed for 12- 24 h. The level of human chorionic gonadotropin was detected per 3 days,B ultrasound was examined every week. The success rate of operation,therapeutic effects and adverse reactions in all cases were recorded. Results: The UACE operations of 13 cases were success,the effect of hemostasis was good. All patients were followed up for 6 months and no re-bleeding. In addition to tabdomen severe pain in 4 cases,no severe complications were found. Conclusions: UACE for treating hemorrhagic CSP is safe and reliable,which is worth for clinical use.
- ectopic pregnancy /
- cesarean scar pregnancy /
- hemorrhage /
- chemoembolization /
- uterine artery

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子宫动脉化疗栓塞治疗子宫瘢痕妊娠合并大出血13例

通讯作者: 施万印, shwy110@163.com;

作者简介: 王剑(1986－ ),男,住院医师.

1. 1. 江苏省南京市江宁医院介入放射科, 江苏南京 211100;
2. 2, 南京医科大学附属南京第一医院介入放射科, 江苏南京 210006

收稿日期: 2013-03-04
网络出版日期: 2013-12-15

基金项目:

关键词:

摘要: 目的:探讨子宫动脉化疗栓塞(UACE)治疗剖宫产后子宫瘢痕妊娠(CSP)合并大出血的临床应用价值。方法:对13例CSP合并大出血患者采用UACE联合灌注甲氨蝶呤50~75 mg,术后嘱患者平卧12~24 h。每3 d复测人绒毛膜促性腺激素,每周复查B超。记录手术成功率、栓塞效果及不良反应。结果:13例患者均成功实施双侧UACE,并止血成功,随访6个月,无再发出血。4例患者出现下腹剧痛,无其他严重并发症发生。结论:UACE治疗CSP合并大出血安全、有效,值得临床推广使用。