子宫动脉化疗栓塞在宫颈或剖宫产切口妊娠人工流产手术前作用.docVIP

子宫动脉化疗栓塞在宫颈或剖宫产切口妊娠人工流产手术前作用 　　 　　[摘要] 目的 探讨子宫动脉化疗栓塞术在宫颈或剖宫产切口妊娠人工流产手术前的应用效果。 方法 术前常规进行各项检查，待患者生命体征稳定后实施子宫动脉化疗栓塞术，待3~5天在B超引导下对其进行人工流产手术终止妊娠。 结果 28例患者均顺利完成子宫动脉化疗栓塞及人工流产手术治疗，治愈率为100%。低热是子宫动脉化疗栓塞术后人工流产的常见不良反应，发生率高达75.00%，与其他不良反应发生率比较差异有统计学意义（P0.05）。 结论 在宫颈或切口妊娠患者实施人工流产前给予子宫动脉化疗栓塞术治疗，可获得满意的临床疗效，安全性及有效性均较高。 　　[关键词] 子宫动脉化疗栓塞；宫颈妊娠；切口妊娠；清宫术；应用效果 　　[中图分类号] R714.22[文献标识码] B[文章编号] 1674-4721（2014）05（c）-0186-03 　　 　　Effect of uterine artery chemoembolization in cervical or cesarean scar pregnancy before induced abortion operation 　　GE Kun-yuan JIANG Xiao-dong CHENG Bao-liang 　　Yixing People′s Hospital of Jiangsu Province,Yixing 214200,China 　　[Abstract] Objective To explore the application effect of uterine artery chemoembolization in cervical or cesarean scar pregnancy before induced abortion operation. Methods All these preoperative regular examinations were conducted in all patients.The uterine artery chemoembolization was performed after stabilization of patient′s vital signs.It lasted for 3-5 days,the induced abortion operation under the guidance of B ultrasound was carried out aiming at termination of pregnancy. Results All these 28 patients in cervical or cesarean scar pregnancy successfully underwent uterine artery chemoembolization and induced abortion operation,and the cure rate was 100.00%.Low-grade fever was a common adverse reaction occurred in induced abortion patients after uterine artery chemoembolization with incidence reaching up to 75.00%,which displayed a statistical difference in comparison with incidences of other adverse reactions (P0.05). Conclusion Uterine artery chemoembolization in cervical or cesarean scar pregnancy patient before induced abortion operation can obtain a satisfying clinical effect with high safety and effectiveness. 　　[Key words] Uterine artery chemoembolization;Cervical pregnancy;Cesarean scar pregnancy;Curettage;Application effect 　　宫颈妊娠及剖宫产术后切口妊娠（cesarean scar pregnancy，CSP）均属于临床较为少见的异位妊娠[1]，临床需及时对患者实施人工流产终止妊娠。本文对本院2009年