[1]李统怀,郑红枫. 子宫动脉栓塞治疗子宫瘢痕妊娠11例[J].介入放射学杂志,2011,(11):898-900.
 LI Tong-huai,ZHENG Hong-feng..Clinical application of uterine artery embolization in treating uterine scar pregnancy[J].journal interventional radiology,2011,(11):898-900.
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 子宫动脉栓塞治疗子宫瘢痕妊娠11例 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年11期
页码:
898-900
栏目:
临床研究
出版日期:
2011-11-25

文章信息/Info

Title:
Clinical application of uterine artery embolization in treating uterine scar pregnancy
作者:
 李统怀   郑红枫
323000 浙江省丽水市人民医院妇产科
Author(s):
LI Tong-huai ZHENG Hong-feng.
Department of Gynecology and Obstetrics, Lishui Municipal People's Hospital, Lishui, Zhejiang Province 323000, China
关键词:
 【关键词】   子宫瘢痕妊娠 介入治疗 子宫动脉栓塞
分类号:
R714.22
文献标志码:
A
摘要:
 【摘要】   目的   探讨子宫动脉栓塞治疗在子宫瘢痕妊娠中的临床应用价值。方法 2007年11月- 2010年2月收治子宫下段剖宫产术后子宫瘢痕妊娠11例,其中4例因阴道大出血入院后急诊行子宫动脉栓塞治疗;另7例患者行MTX静脉化疗(每天剂量为0.4 mg/kg,5 d为1个疗程),其中3例患者在化疗期间因突发阴道大出血(出血量≥ 100 ml/h)而急诊行子宫动脉栓塞治疗;4例患者给予MTX静脉化疗2个疗程,血HCG无明显下降而进一步行子宫动脉栓塞治疗。结果 11例介入治疗患者术后血HCG均下降明显,7例阴道大出血患者于术后半小时内阴道流血明显减少,11例均保留子宫成功,完整保留生育能力。结论 子宫动脉栓塞治疗对子宫瘢痕妊娠合并有阴道大出血(> 500 ml/24 h)及(或)血βHCG异常升高(血βHCG ≥ 20 000 IU/L)、异位妊娠肿块直径≥ 5 cm的患者疗效显著,能很好保留女性生育功能,减少切除子宫风险,有临床应用价值。

参考文献/References:

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备注/Memo

备注/Memo:
 (收稿日期:20110114)
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