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子宫动脉栓塞术在剖宫产瘢痕妊娠的临床应用
作者:杨红耀1  张欣贺2 
单位:1. 南阳市中心医院 妇科, 河南 南阳 473000;
2. 南阳市中心医院 磁共振室, 河南 南阳 73000
关键词:剖宫产 瘢痕妊娠 宫动脉栓塞术 
分类号:R711.74
出版年·卷·期(页码):2014·33·第四期(477-479)
摘要:

目的:探讨子宫动脉栓塞术在剖宫产瘢痕妊娠的应用价值。方法:回顾性分析20例剖宫产术后瘢痕妊娠患者的诊断及治疗方法。结果:20例剖宫产瘢痕妊娠患者采取子宫动脉栓塞术(UAE)治疗后均能有效控制出血,术后24~48 h在B超监护下行清宫术,手术顺利,术中出血少。结论:子宫动脉栓塞术能有效防止和控制剖宫产瘢痕妊娠引起的出血,是剖宫产瘢痕妊娠的安全、可靠的治疗方法。

Objective: To investigate the value of the uterine artery embolization in cesarean section scar pregnancy. Methods: A retrospective study was carried out to analyze the diagnosis and treatment of 20 patients with cesarean section pregnancy. Results: Twenty patients were treated with uterine artery embolization (UAE)and the bleeding was effectively controlled, the curettage would be implemented 24-48 hours after operation under B ultrasound monitoring curettage. The operation was successfully with only a little hemorrage.Conclusion: Uterine artery embolization can effectively prevent and control bleeding caused by scar pregnancy. It is a safe, reliable treatment of caesarean scar pregnancy.

参考文献:

[1] SEOW K M,HUANG L W,LIN Y H,et al.Cesarean scar pregnancy:issue in management[J].Ultrasound Obstet Gynecol,2004,23(3):247-253.
[2] YAN C M.A report of four cases of cesarean scar pregnancy in a period of 12 months[J].Hang Kong Med J,2007,13(2):141.
[3] RYAN G L,QUINN T J,SYROP C H,et al.Placenta accreta postpartum[J].Obstet Gynecol,2002,100(2):1069-1072.
[4] HOLLAND M G,BIENSTOCK J L.Recurrent ectopic pregnancy in a cesarean scar[J].Obstetrics Gynecol,2008,111(2pt2):541-545.
[5] 桑霞,寿坚.经子宫动脉栓塞术治疗剖宫产后子宫瘫痕妊娠[J].浙江预防医学,2010,22(5):67-68.
[6] 王靖辉,刘玉侠,郭海鸥.子宫动脉灌注栓塞术在宫颈妊娠或子宫下段瘢痕妊娠中的应用[J].宁夏医科大学学报,2010,32(1):114.
[7] 梁宝权,郑艾,李春梅.203例剖宫产瘢痕妊娠的临床分析[J].实用妇产科杂志,2011,27(5):391-393.
[8] 黎雪琴,王巧兮,张建廷,等.双侧子宫动脉甲氦蝶呤灌注加栓塞治疗宫颈妊娠11例分析[J].中国介入影像与治疗学,2007,4(1):39.
[9] YI S W,LEE J H.Uterine pseudoaneurysm leakage may cause delaved postpartum haemorrhage:multidetector CT with angiography and transcatheter uterinearterial embolisation[J].J Obstet Gynaecol,2012,32 (6):552-555.
[10] SHEN L,TAN A, ZHU H. et al.Bilateral uterine artery chemoembolization with mlethotrexate for cesareanscar pregnancy[J].Am J Obstet Gynecol,2012,207(5):386.

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