摘要:目的: 探討經(jīng)子宮動(dòng)脈介入化療栓塞治療剖宮產(chǎn)切口瘢痕妊娠的應(yīng)用價(jià)值。 方法 :回顧分析本院自2006年7月至2007年12月子宮動(dòng)脈介入治療的15例剖宮產(chǎn)切口瘢痕妊娠病例資料。 結(jié)果 :15例介入治療均成功,其中8例化療及明膠海綿栓塞后加用彈簧圈栓塞,術(shù)后陰道流血停止,孕囊明顯縮小,血清人絨毛膜促性腺激素明顯下降。術(shù)后清宮無(wú)大出血,病理檢查示子宮瘢痕部位絨毛、蛻膜或胎盤組織,有變性、壞死。 結(jié)論 :經(jīng)子宮動(dòng)脈介入治療剖宮產(chǎn)瘢痕妊娠,能有效預(yù)防和控制出血,減小清宮危險(xiǎn),并保留子宮,是剖宮產(chǎn)瘢痕妊娠安全、有效的治療方法之一。
Abstract: Objective: To investigate the value of uterine artery chemotherapy and embolization in the treatment of cesarean scar pregnancy. Methods : Fifteen cases with cesarean scar pregnancy performed with uterine artery interventional therapy were retrospectively analyzed from July, 2006 to December, 2007 in our hospital. Results : All cases were treated successfully by uterine artery chemotherapy and embolism. All cases were embolized with gelatin sponge after chemotherapy, and eight with spring ring additionally. Vaginal bleedings were stopped after uterine artery embolization. Gestation sacculi deflated obviously. Serum human chorionic gonadotrophin descended dramatically. There was no severe vaginal bleeding by curettage after interventional therapy. The villi, decidua, or placental tissues were observed with degeneration and necrosis by pathology. Conclusion : Uterine artery chemotherapy and embolization was proved to be a safe and useful procedure for preventing and controlling vaginal bleeding, diminishing the risk of curettage and avoiding the loss of uterus.

引用本文： 李開明,寧剛,陳錫建,王祖莉,楊冬明,趙福敏. 剖宮產(chǎn)術(shù)后子宮切口瘢痕妊娠介入治療價(jià)值探討. 華西醫(yī)學(xué), 2009, 24(10): 2680-. doi: 復(fù)制