急诊介入栓塞对剖宫产后瘢痕妊娠大出血的应用价值

孙晓龙; 石红春

doi:10.13406/j.cnki.cyxb.2011.09.023

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急诊介入栓塞对剖宫产后瘢痕妊娠大出血的应用价值

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- 急诊介入栓塞对剖宫产后瘢痕妊娠大出血的应用价值
- Emergency uterine arterial choemembolization in the treatment of massive hemorrhage due to cesarean scar pregnancy
- 重庆医科大学学报 2011年36卷第9期页码：1135-1137
- 作者机构：
  
  重庆市急救医疗中心介入放射科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2011.09.023
  中图分类号： R714.22
- 纸质出版日期：2011，
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[1]孙晓龙,石红春.急诊介入栓塞对剖宫产后瘢痕妊娠大出血的应用价值[J].重庆医科大学学报,2011,36(09):1135-1137.

SUN Xiao-long, SHI Hong-chun. Emergency uterine arterial choemembolization in the treatment of massive hemorrhage due to cesarean scar pregnancy[J]. Journal of Chongqing Medical University, 2011,36(9):1135-1137.
[1]孙晓龙,石红春.急诊介入栓塞对剖宫产后瘢痕妊娠大出血的应用价值[J].重庆医科大学学报,2011,36(09):1135-1137. DOI： 10.13406/j.cnki.cyxb.2011.09.023.

SUN Xiao-long, SHI Hong-chun. Emergency uterine arterial choemembolization in the treatment of massive hemorrhage due to cesarean scar pregnancy[J]. Journal of Chongqing Medical University, 2011,36(9):1135-1137. DOI： 10.13406/j.cnki.cyxb.2011.09.023.

摘要

目的:探讨剖宫产后子宫瘢痕妊娠（Cesarean section pregnancy

CSP）大出血时急诊双侧子宫动脉化疗栓塞术的应用价值。方法2:3例CSP患者出血量1 500

500 ml

平均2 000 ml

行双侧子宫动脉超选择性插管后灌注甲氨蝶呤（Methotrex-ate

MTX）和明胶海绵颗粒行栓塞治疗。结果:23例CSP患者全部栓塞成功

随访3

个月无再次大出血。结论:急诊双侧子宫动脉化疗栓塞术治疗CSP患者安全、有效、无严重并发症

值得临床推广使用。

Abstract

Objective: To investigatecthe clinical application of bilateral uterine arterial chemoembolization in treating massive hemorrhage due to cesarean section scar pregnancy(CSP).Methods:Twenty-three patients with massive hemorrhage due to cesarean were enrolled in the study

The mean blood loss was 2 000 ml.Selective catheterization was employed and bilateral uterine arterial chemoembolization with infusion methotrexate(MTX) together with gelatin sponge via the catheters was conducted.Results:The technical success was achieved in all the 23 patients.No recurrent bleeding occurred during a follow-up of 3~6 months.Conclusion:The emergency bilateral uterine arterial chemoembolization is a safe and effective treatment for massive hemorrhage due to cesarean scar pregnancy with no serious complications therefore

this technique is worth using in clinical practice.

关键词

动脉栓塞剖宫产子宫瘢痕妊娠妇科大出血

Keywords

arterial chemoembolizationscar pregnancy after cesarean sectionpregnancygynecological massive hemorrhage

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