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目的探讨子宫动脉栓塞术在剖宫产后瘢痕子宫妊娠治疗中的应用。方法对7例瘢痕子宫妊娠病例行甲氨蝶呤灌注+子宫动脉栓塞术后,对疗效进行分析归纳总结。结果上述7例患者均手术成功,随访阴道无大量出血,月经恢复正常,彩超提示异常回声消失。结论甲氨蝶呤灌注联合子宫动脉栓塞术是治疗剖宫产后瘢痕子宫妊娠的一种安全、有效的方法。
Objective To investigate the application of uterine artery embolization in the treatment of uterine scar after cesarean section. Methods Seven cases of uterine scar pregnancy were treated with methotrexate perfusion + uterine artery embolization, the analysis of the results summarized. Results The above 7 patients were successfully surgically treated. There was no massive bleeding in the vagina and the menstruation returned to normal. The color Doppler ultrasound indicated that the abnormal echo disappeared. Conclusion Methotrexate perfusion combined with uterine artery embolization is a safe and effective method for cesarean scar pregnancy.