CAJ | 학술논문

目的：探讨单纯子宫动脉栓塞术联合刮宫术治疗宫颈妊娠的临床疗效。方法对31例确诊宫颈妊娠患者，行超选择性子宫动脉插管后注射明胶海绵颗粒进行栓塞治疗，术后24～48h再行刮宫术。结果31例患者双侧子宫动脉超选择性插管及栓塞成功率均为100％，血β-HCG水平术后7～15天恢复正常，术后24～48h行刮宫术胚胎组织易于剥离，出血量少在5～25ml之间。结论单纯子宫动脉栓塞术能明显降低宫颈妊娠刮宫术中大出血的风险，成功率高、安全有效。
목적：탐토단순자궁동맥전새술연합괄궁술치료궁경임신적림상료효。방법대31례학진궁경임신환자，행초선택성자궁동맥삽관후주사명효해면과립진행전새치료，술후24～48h재행괄궁술。결과31례환자쌍측자궁동맥초선택성삽관급전새성공솔균위100％，혈β-HCG수평술후7～15천회복정상，술후24～48h행괄궁술배태조직역우박리，출혈량소재5～25ml지간。결론단순자궁동맥전새술능명현강저궁경임신괄궁술중대출혈적풍험，성공솔고、안전유효。
Objective To investigate the clinical efficacy of the simple uterine artery embolization combined with uterine curettage for cervical pregnancy (CP) .Methods 31 CP patients with CP were given superselective cannulas embolism and injection of gelatin sponge particles .Then uterine curettage treatment was performed at 24~48 hours after surgery .Re-sults The successful rate of superselective uterine arterial cannulation on both sides and embolization was 100% in all the 31 patients ,plasmaβ-HCG level returned to be normal 7~15 days postoperatively ,embryonic tissue was peeled off easily , the blood loss was 5~25 ml .Conclusion The simple uterine artery embolization can significantly reduce the risk of bleed-ing in the uterine curettage of CP ,high success rate and safe and effective choise for the treatment of CP .