血管性介入治疗在宫颈妊娠中的应用

Application of uterine artery interventional therapy in Cervical pregnancy

目的探讨血管性介入治疗宫颈妊娠的临床疗效。方法对11例宫颈妊娠患者在数字减影血管造影（digital subtraction angiography，DSA）监视下进行选择性子宫动脉插管，甲氨喋呤（MTX）及氟尿嘧啶（5-Fu）灌注、明胶海绵颗粒栓塞双侧子宫动脉。结果11例宫颈妊娠经介入治疗8天后行清宫术，术中出血约5-20ml，术后血β-HCG平均27．6天降至正常，术后平均12天左右B超提示宫颈恢复正常大小。结论血管性介入治疗宫颈妊娠具有微创、安全、疗效肯定、可保留生育功能等优点，值得推广。

Objective To discuss the clinical effect of uterine artery interventional therapy in cervical pregnancy. Methods 11 cases of cervical pregnancy ,under the surveillance of DSA, cannulas were intubated into the uterine artery selectivity, MTX and 5-FU were dabbled and then embolized by gelatin sponge. Results All of the 11 cases with cervical pregnancy were curettage after interventional therapy 8 days, hemorrhaged from 5 to 20ml during the operation. The level of β -HCG in blood reduced to the normal on the average of 27. 6 days. The cevix recover to normal size 12 days equation according to the results of B ultrasonic. Conclusion The uterine artery interventional therapy in cervical pregnancy is worth generalization, Because of microport, safety, affirm curative effect and remain breeding function.