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目的探讨子宫动脉化疗灌注加栓塞在治疗宫颈妊娠中的作用。方法对11例宫颈妊娠患者急诊行双侧子宫动脉选择性插管,灌注甲氨蝶呤(methotrexate,MTX)后,再用明胶海绵颗粒栓塞双侧子宫动脉,1周内再在B超引导下行刮宫术或吸宫术。结果11例患者均成功施行了子宫动脉化疗灌注加栓塞术,1周内顺利行刮宫术或吸宫术,术中出血量少。结论子宫动脉化疗灌注加栓塞术为宫颈妊娠患者的保守治疗提供了安全保障,为一种安全有效的治疗方法。
Objective To investigate the role of uterine artery chemotherapy and embolization in the treatment of cervical pregnancy. Methods Eighteen patients with cervical pregnancy underwent bilateral uterine artery selective intubation and methotrexate (MTX) infusion. Uterine artery was embolized with gelatin sponge particles and guided by B ultrasound within one week. Curettage or suction curettage. Results All 11 patients underwent successful uterine arterial chemoembolization and embolization. The patients underwent curettage or ejaculation within one week with less bleeding during operation. Conclusion Uterine arterial chemoembolization and embolization provide safeguards for the conservative treatment of patients with cervical pregnancy, which is a safe and effective treatment.