摘要
目的 :评价输卵管介入治疗的新方法以及与其他药物治疗的比较。方法 :在X线透视下 ,选用球茎端导管引导 3F微细导管配 0 0 45cm白金头导丝 ,经阴道、宫腔插入输卵管 ,对输卵管妊娠的孕囊进行穿刺 ,并注入氨甲喋呤 ,使孕囊死亡。结果 :2 5例患者插管均一次成功 ,2 2例患者治愈 ,治愈率为 88 0 0 %。 3例患者介入治疗后 β hCG下降 ,转手术治疗。 2 5例患者均未出现并发症。 5例患者术后复查 ,患侧输卵管通畅。结论 :输卵管妊娠介入治疗是一种可行性的新方法 ,较其他药物保守治疗有一定的优越性 ,并且安全、经济、疗效高。术后患侧输卵管通畅 ,保留了生育能力。
Objective:To assess a new method of interventional therapy of fallopian tube pregnancy in comparison with other treatment.Methods:25 cases of fallopian tube pregnancy were treated with the interventional therapy.Under the X ray TV,a 3F teflon catheter with a 0 045cm platinum wire was inserted into the fallopian tube through vagina and uterus for the infusion of methotrexate into the pregnancy mass.Results:Out of 25 cases,no complications were observed.22 cases(88 00%) were cured. 3 cases were operated later.Conclusion:The interventional therapy of fallopian tube pregnancy was proved to be superior to other conservative treatments.The treated tubes were patent and generative power was reserved.It was safe,convenient,economic and could be widely applied in clinical practice.
出处
《放射学实践》
1999年第4期253-255,共3页
Radiologic Practice
关键词
输卵管妊娠
氨甲喋呤
介入疗法
X线
Interventional therapy Fallopian tube pregnancy Methotrexate
