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1、子宫动脉栓塞术在子宫瘢痕妊娠中临床应用【摘要】:目的:探讨子宫动脉栓塞术在子宫瘢痕妊娠(cesareanscarpregnancy,CSP)的诊断及治疗效果分析。方法:对1998～2006年收治的11例CSP患者临床资料进行回顾性分析。结果:11例患者中5例在盆腔B-超初筛及阴道多普勒复核确诊,先行子宫动脉栓塞(uterinearteryembolisation,UAE)后行人流术,有4例一次治疗成功。6例诊断为宫内早孕行人工流产或药物流产,在流产术中或术后发生大量阴道出血伴早期失血性休克,经复查彩超明确诊断,在UAE治疗后行清宫术
2、成功,均迅速有效的控制了阴道出血并减少了术中出血,7例患者栓塞后联合药物、手术或期待治疗均成功的保留了生育功能有6例。结论:子宫动脉栓塞可以迅速止血,应首选,栓塞后联合药物或联合B超监视宫腔镜下清宫以及手术治疗是安全有效的治疗方法。【关键词】:子宫瘢痕妊娠;栓塞术;动脉【中图分类号】R713.4【文献标识码】A【文章编号】1007-8517(2010)08-040-2ClinicalvalueofuterinearterialembolizationofcesareanscarectopicpregnanciesHuangChang
3、qing.DepartmentofRadiologyofThe8YiDuCityNo.2People’shospitalOfHuBeiProvince,YiDu,China.【Abstract】:Objective:Toclinicalvalueofuterinearterialembolizationcesareanscarpregnancy(CSP).Methods:therewere11casesCSPinourhospitalfrom1998to2006,clinicaldataanalyzedretrospectively
4、.Results:5caseswerepreliminaryscreenedthroughultrasonographyandfinaldiagnosisedthroughvaginalcolorDoppler,inthese,4casesgotsuccessthroughplayinginducedabortionafterembolizinguterineartery.Another6caseswereoccurredvaginalbleedingandearlyhemorrhagicshockwhenwereplayingin
5、ducedabortionorover,becausemisdiagnosisedpregnancyinuterine,andfinaldiagnosisedthroughcolorDoppler.Amongthe6cases,2casesgotsuccessininducedabortionafterUAE,4casestreatedbyusingMTX,1casesucceedinMTX,2casessucceedinMTXandremovedresidualunderhysteroscope,1caseplayedsubtot
6、alhysterectomybecausevaginalbleedingaftertreated1coursebyMTX.Inthe11cases,therewere7casesembolizeduterineartery,thefertility8of6caseswerepreserved,whilethatof1casewasnotpreservedbecauseofsubtotalhysterectomy.Conclusion:therearereliablemeanspreliminaryscreenedthroughult
7、rasonographyandfinaldiagnosisedthroughvaginalcolorDopplerindiagnosingCSPearly.AndUAEplaysanimportantroleinallthetreatmentsforCSP.CombineUAEwithMTX,orcombineUAEwithinducedabortionunderhysteroscope,orsubtotalhysterectomyweresafeandeffective,thecurativeeffectisuncertainty
8、ifuseMTXonly.【Keywords】:cesareanscarpregnancy;embolization;artery随着剖宫产率的上升,子宫瘢痕妊娠的发病率也逐渐上升,此病是异位妊娠中的少见类型,发生率约为1:1800至
