| 摘要: |
| ［摘要］ 目的 探讨瘢痕妊娠子宫动脉置管术后超声引导下行清宫术的安全性及有效性。方法 Seldingger法经皮穿刺右侧股动脉，常规进行双侧子宫动脉造影检查，造影导管置入优势供血动脉，随后在超声引导下进行清宫术;清宫术中术后出现大出血则即刻进行子宫动脉栓塞，无大出血则结束手术。结果 清宫术中2例患者出现大出血，成功进行双侧子宫动脉栓塞；7例患者无大出血仅行子宫动脉造影，完全保留子宫动脉。结论 子宫动脉置管术后超声引导下行清宫术是治疗瘢痕妊娠安全有效的方法，可以最大限度地减少对患者的损伤。 |
| 关键词: 瘢痕妊娠 清宫术 栓塞 子宫动脉 介入 |
| DOI：10.3969/j.issn.1674-3806.2015.10.23 |
| 分类号:R 714.22 |
| 基金项目: |
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| Uterine artery catheterization for curettage under the guidance of ultrasound in 9 cases with scar pregnancy |
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WEI Lin, HUANG Tao, ZHANG Jian-min, et al.
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Department of Radiology, the First People′s Hospital of Zhumadian City, Henan 463000, China
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| Abstract: |
| ［Abstract］ Objective To investigate a safe and effective method for curettage using uterine artery catheterization under the guidance of ultrasound in wewen with scar pregnancy.Methods Percutaneous puncture of the right femoral artery was performed by seldingger method, followed by conventional bilateral uterine artery angiography and angiography catheter placement advantage artery then in angiography in the diagnosis of uterine curettage in bed, under the guidance of ultrasound. If intraoperative and postoperative bleeding of uterine curettage happened, uterine artery embolization was performed immediately, and the operation was ended if no massive hemorrhage occurred.Results Intraoperative hemorrhage occurred in 2 patients and the embolization of bilateral uterine artery was performed successfully on them. No bleeding happened in 7 patients who were performed only for uterine artery angiography with uterine artery completely retained.Conclusion Uterine artery catheterization after ultrasound guided curettage in patients with scar pregnancy is safe and effective, which can minimize the damage to the patients. |
| Key words: Scar pregnancy Uterine curettage Embolization Uterine artery Interventional |
