Cervical pregnancy treated by uterine artery chemoembolization combined with dilatation and curettage
10.3969/j.issn.1002-1671.2015.06.031
- VernacularTitle:子宫动脉化疗栓塞结合清宫术治疗宫颈妊娠的疗效研究
- Author:
Wei ZHANG
;
Baoping HOU
;
Chao TANG
;
Lingjun LI
;
Hongli XU
;
Huixia WANG
- Publication Type:Journal Article
- Keywords:
cervical pregnancy;
uterine artery;
embolism;
chemotherapy;
dilatation and curettage
- From:
Journal of Practical Radiology
2015;(6):1006-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of uterine artery chemoembolization(UACE)in conjunction with dilata-tion and curettage in the treatment of cervical pregnancy.Methods UACE was performed in 7 patients with cervical pregnancy,after bilateral uterine artery perfusion of methotrexate,using gelatin sponge for embolization.Dilatation and curettage was carried out within 1 week after the procedure.Results The symptom of vaginal bleeding was effectively controlled after UACE,then dilatation and curettage performed in 6 within 1 week,the blood loss during curettage procedure was 10-30 mL(mean 21 mL).The serumβ-HCG decreased to normal range within 1 week in 1 and 3 weeks in 6 after intervention,average 1 6.4 ± 6.9 days.No serious com-plications occurred and follow up did not show symptoms of premature ovarian failure.Conclusion UACE combined with dilatation and curettage significantly improve the efficacy and safety of the treatment of cervical pregnancy,and avoid serious incident,such as massive hemorrhage and unnecessary resection,the clinical application is safe and effective.
