齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
Journal of Qiqihar University of Medicine
2015年
30期
4597-4599
,共3页
李微微%赵林桦%谢芳%陈灼英%林邯枫
李微微%趙林樺%謝芳%陳灼英%林邯楓
리미미%조림화%사방%진작영%림함풍
宫颈妊娠%导管消融术%治疗
宮頸妊娠%導管消融術%治療
궁경임신%도관소융술%치료
Cervical pregnancy%Catheter ablation%Therapy
目的 总结射频消融术( RFA)治疗宫颈妊娠的经验. 方法 2005年6月至2013年11月,应用超声引导下RFA治疗宫颈妊娠5例. 结果 2例单纯行RFA治疗成功,术中出血少;2例行RFA联合宫颈局部注射MTX治疗成功,术中出血少;1例行RFA治疗时出血多,宫颈碘仿纱布填塞2 d取出后阴道活动性出血,行双侧子宫动脉栓塞+MTX双侧子宫动脉灌注,1 w后在超声引导下行宫颈妊娠残留物清除术. 5例术后12~21 d血β-hCG转阴,术后第2个月均有正常月经来潮. 组织病理报告:绒毛组织. 结论 阴道出血少、血β-hCG值不高、妊娠囊小、无胎心搏动的宫颈妊娠,可单纯应用RFA治疗,是一种安全、经济的手术方法,具有微创、对出血部位直接电凝止血、出血少的特点,有很好的临床效果.
目的 總結射頻消融術( RFA)治療宮頸妊娠的經驗. 方法 2005年6月至2013年11月,應用超聲引導下RFA治療宮頸妊娠5例. 結果 2例單純行RFA治療成功,術中齣血少;2例行RFA聯閤宮頸跼部註射MTX治療成功,術中齣血少;1例行RFA治療時齣血多,宮頸碘倣紗佈填塞2 d取齣後陰道活動性齣血,行雙側子宮動脈栓塞+MTX雙側子宮動脈灌註,1 w後在超聲引導下行宮頸妊娠殘留物清除術. 5例術後12~21 d血β-hCG轉陰,術後第2箇月均有正常月經來潮. 組織病理報告:絨毛組織. 結論 陰道齣血少、血β-hCG值不高、妊娠囊小、無胎心搏動的宮頸妊娠,可單純應用RFA治療,是一種安全、經濟的手術方法,具有微創、對齣血部位直接電凝止血、齣血少的特點,有很好的臨床效果.
목적 총결사빈소융술( RFA)치료궁경임신적경험. 방법 2005년6월지2013년11월,응용초성인도하RFA치료궁경임신5례. 결과 2례단순행RFA치료성공,술중출혈소;2례행RFA연합궁경국부주사MTX치료성공,술중출혈소;1례행RFA치료시출혈다,궁경전방사포전새2 d취출후음도활동성출혈,행쌍측자궁동맥전새+MTX쌍측자궁동맥관주,1 w후재초성인도하행궁경임신잔류물청제술. 5례술후12~21 d혈β-hCG전음,술후제2개월균유정상월경래조. 조직병리보고:융모조직. 결론 음도출혈소、혈β-hCG치불고、임신낭소、무태심박동적궁경임신,가단순응용RFA치료,시일충안전、경제적수술방법,구유미창、대출혈부위직접전응지혈、출혈소적특점,유흔호적림상효과.
Objective The objective of this study was to explore the effectiveness of radio frequency ablation in the treatment of cervical pregnancy.Methods In June 2005 to November 2013, a total of 5 patients with cervical pregnancy were treated by ultrasound guided radiofrequency ablation.Results 2 cases treated with radiofrequency ablation alone succeeded, less intraoperative bleeding;2 cases treated with radiofrequency ablation combined cervical local injection of MTX successfully, less intraoperative bleeding; 1 case treated with radiofrequency ablation was bleeding more, padded cervical iodoform gauze out after 2 days.For vaginal active bleeding, bilateral uterine artery embolization combined MTX bilateral uterine artery perfusion.After one week in removal of cervical pregnancy residues guided by ultrasound.5 cases of postoperative 12 ~21 days blood beta HCG were normal, after 2 months with normal menstrual cramps. Histopathologic report: villi tissue. Conclusions With less bleeding and blood beta HCG value is not high, small gestational sac, no heart throb of the cervical pregnancy, can be simply used radiofrequency ablation.It is a safe and economic operation method, with minimally invasive, bleeding direct an electrocautery unit of blood, and the characteristics of less bleeding, has good clinical effect.