摘要
目的探讨选择性子宫动脉介入治疗输卵管妊娠的可行性和临床疗效。方法对48例愿意接受介入治疗的患者,采用Seldinger穿刺技术,用4～5F导管超选入患侧子宫动脉灌注氨甲蝶呤(MTX)100～150mg,再用明胶海绵颗粒栓塞子宫动脉,术后观察临床体征、定期监测血清β-HCG(人绒毛膜促性腺激素)值、B超监测孕囊变化情况。结果47例获得成功,成功率达97.92%,无严重不良反应,术后β-HCG下降至正常所需时间14～28d,平均18d结论经子宫动脉介入治疗输卵管妊娠,具有不开腹创伤小、恢复快、能保留生育功能的优点,值得推广应用。
Objective To study the feasibility and the clinical effect of the treatment oftubule pregnancy by using interventional technique through selective uterine artery. Methods Byusing Seldinger’s method, 48 cases received interventional treatment, followed by perfusion of methotreate(MTX) 100mg through Tube 4-5F. The concentration of serum β-HCG, the change of pelvic cavity, and the open condition of amnion by ultrasonic exanination. Results The curerate rat of 47 cases was 97.92%. No serious reaction. After treatment, the mean time that theserum β-HCG concentration returned to normal was 14-28 days and the mean time was 18days.Conclusion The treatment of trbule pregnancy by interventional technique proved no harmfuleffect to reproductive organs and quick recovery. It’s worth spreading.
出处
《影像诊断与介入放射学》
2004年第2期112-114,共3页
Diagnostic Imaging & Interventional Radiology
