介入技术加清宫术治疗剖宫产子宫切口疤痕妊娠8例

8 Cases Reports of Cesarean Scar Pregnancy Treated Trough Uterine Artery Embolism Combined Curettage

目的:对子宫动脉输注氨甲喋呤+子宫动脉明胶海绵栓塞+超声监测下清宫术治疗剖宫产后子宫切口瘢痕妊娠的疗效进行评价。方法:将我院2008年1月～2011年1月共8例剖宫产子宫瘢痕妊娠采用以介入治疗为主要方法的结果进行分析。结果:8例患者均成功保留了生育功能,所有患者血β-HCG值均在术后2～6w下降至正常,术后26～80 d月经恢复来测,无明显并发症。结论:MTX子宫动脉输注化疗+子宫动脉明胶海绵栓塞术+B超监测下清宫术具有降低大出血风险,保留妇女生育功能,疗效确切安全副反应轻的优点,对剖宫产术后子宫疤痕妊娠可作为首选的办法。

Objective：To evaluate the curative effect of the treatment of cesarean scar pregnancy（CSP） trough MTX infusion for uterine arteries and uterine arteries Embolism with gelatin sponge combined curettage under the monitor of b-mode ultrasound.Methods：To analyze the 8 cases of CSP in our hospital from January 2008 to January 2011,they were received intervention therapy.Results：All of the 8 patients were successfully retained the reproductive function,and the bloodβ-HCG returned to the normal level in 2～6weeks after curettage.After 26～80days,they had normal menstruation with no significant complications.Conclusion：MTX infusion for uterine arteries and uterine arteries Embolism with gelatin sponge combined curettage under the monitor of b-mode ultrasound were effective,safe and minimally invasive methods with low risk of heavy bleeding for the treatment of cesarean scar pregnancy,which should be the first choice for patients with cesarean scar pregnancy.