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目的探究大剂量甲氨蝶呤子宫动脉灌注栓塞化疗术治疗胎盘植入产后出血的疗效。方法 43例接受大剂量子宫动脉灌注甲氨蝶呤化疗并栓塞术治疗胎盘植入产后出血的患者,对其手术指标、治疗效果、术后并发症等进行分析。结果 43例接受治疗的患者全部顺利完成手术,成功止血,患者术后恢复好,无严重不良反应,远期并发症少。结论大剂量甲氨蝶呤子宫动脉灌注栓塞化疗术治疗胎盘植入产后出血安全有效,且能保留患者的生育功能,有较高的临床实用价值。
Objective To investigate the efficacy of high-dose methotrexate uterine artery embolization chemotherapy for postpartum hemorrhage placenta accreta. Methods Forty - three patients undergoing methotrexate chemotherapy with high dose of uterine artery and embolization were used to treat postpartum hemorrhage placenta accreta. The operative indexes, therapeutic effect and postoperative complications were analyzed. Results All the 43 patients who underwent the operation successfully completed the operation and succeeded in stopping the bleeding. The patients recovered well and had no serious adverse reactions with less long-term complications. Conclusion High-dose methotrexate uterine artery embolization chemoembolization is safe and effective in the treatment of postpartum hemorrhage placenta accreta and can preserve the reproductive function of patients with high clinical value.