CAJ | 학술논문

目的探讨经子宫动脉途径治疗植入性胎盘的可行性和临床疗效.方法采用介入方法治疗15例植入性胎盘患者.行超选择性子宫动脉内灌注氨甲蝶呤50～100 mg,再用明胶海绵条(颗粒)栓塞子宫动脉.观察治疗效果及预后情况,并记录分析不良反应.结果 15例患者均栓塞成功,之后1周宫内胎盘组织被成功清除.术中未见大量出血,无严重并发症发生.结论经子宫动脉途径介入治疗植入性胎盘安全有效、方法简单、不良反应小、成功率高,是行之有效的治疗方法.
목적 탐토경자궁동맥도경치료식입성태반적가행성화림상료효.방법 채용개입방법치료15례식입성태반환자.행초선택성자궁동맥내관주안갑접령50～100 mg,재용명효해면조(과립)전새자궁동맥.관찰치료효과급예후정황,병기록분석불량반응.결과 15례환자균전새성공,지후1주궁내태반조직피성공청제.술중미견대량출혈,무엄중병발증발생.결론 경자궁동맥도경개입치료식입성태반안전유효、방법간단、불량반응소、성공솔고,시행지유효적치료방법.
Objective To investigate the method and clinical effect of interventional treatment on placenta increta.Methods Fifteen patients with placenta increta were treated interventionally through uterine artery.and Methotrexate 50-100 mg were superselectively infused.Then gel foam particulate or stripes were used for embolization of uterine artery.The therapeutic effect,prognosis and side effects were observed and analyzed.Results All patients underwent uterine artery embolization (UAE) .One week after UAE,curettage was successfully performed.No heavily hemorrhage nor hysterectomy occurred.Conclusion Transcatheter uterine artery intervention is simple,safe and effective with highly successful rate and has little side effects for the treatment of placenta increta.