[1]谭中宝,毛学群,王庆庆,等.子宫动脉栓塞联合孕囊注射甲氨蝶呤序贯清宫术治疗瘢痕妊娠 [J].介入放射学杂志,2020,29(01):96-99.
 TAN Zhongbao,MAO Xuequn,WANG Qingqing,et al.Uterine artery embolization combined with gestational sac injection of methotrexate for the treatment of cesarean scar pregnancy[J].journal interventional radiology,2020,29(01):96-99.
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子宫动脉栓塞联合孕囊注射甲氨蝶呤序贯清宫术治疗瘢痕妊娠 ()

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

卷:
29
期数:
2020年01
页码:
96-99
栏目:
临床研究
出版日期:
2020-02-10

文章信息/Info

Title:
Uterine artery embolization combined with gestational sac injection of methotrexate for the treatment of cesarean scar pregnancy
作者:
谭中宝毛学群王庆庆张建邹容狄镇海刘文新
Author(s):
TAN Zhongbao MAO Xuequn WANG Qingqing ZHANG Jian ZOU Rong DI Zhenhai LIU Wenxin.
Department of Interventional Radiology, Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu Province 212001, China
关键词:
【关键词】 子宫动脉栓塞术甲氨蝶呤局部注射瘢痕妊娠
文献标志码:
A
摘要:
【摘要】 目的?探讨子宫动脉栓塞(UAE)联合超声引导孕囊内注射甲氨蝶呤(MTX)在瘢痕妊娠(CSP)清宫术术前应用的有效性和安全性。方法?收治住院的确诊为瘢痕妊娠的患者38例,其中接受超声引导下于孕囊内MTX注射联合UAE清宫术者16例为观察组,UAE并行MTX全身化疗清宫术者为22例为对照组。对比两组患者清宫术出血情况、住院时间、住院期间β-HCG变化情况、MTX使用剂量、β-HCG恢复时间、阴道流血时间、月经恢复时间及并发症情况。结果?两组患者在剖宫产β-HCG恢复时间、术中出血量及月经恢复时间差异均无统计学意义。观察组患者在住院期间β-HCG下降速度和程度较对照组快,观察组患者局部MTX使用剂量低于对照组。对照组中2例(2/22,9.1%)在清宫术中发生大出血,1例经输血、水囊压迫治疗后好转,1例清宫术中大出血中转子宫切除。结论?UAE联合孕囊注射MTX可以有效降低瘢痕妊娠大出血发生率。超声引导下局部孕囊内MTX注射对快速下降β-HCG水平有一定优势,尤适用于高β-HCG水平患者。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019-02-13)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-02-08