介入治疗剖宫产瘢痕部位妊娠19例临床分析

摘要

Objective To evaluate the safety, feasibility and clinical value of the intervention of cesarean scar pregnancy. Methods From June 2008 to December 2010, 19 cases of cesarean scar pregnancy were intervented by bilateral u-terine artery infusion chemotherapy with methotrexate and gelatin sponge embolization. Results 19 patients to the uterine artery intervention and assisted curettage under ultrasound monitoring, all patients with successful treatment without hysterectomy. Conclusion Uterine artery embolization minimized invasive, rapid bleeding, lesions shrinking fast, with less complications, it is worth promoting.%目的 探讨介入治疗剖宫产瘢痕部位妊娠的安全性、可行性及临床价值.方法 对19例剖宫产瘢痕部位妊娠孕妇行双侧子宫动脉氨甲喋呤灌注化疗及明胶海绵颗粒栓塞介入治疗.结果 19例患者予子宫动脉介入治疗并辅助超声监护下刮宫,患者全部治疗成功,无一例切除子宫.结论 子宫动脉灌注栓塞术具有微创、止血迅速、病灶萎缩快、并发症少等优点,值得临床推广应用.