摘要
目的 探讨彩超引导介入治疗早期输卵管妊娠的临床价值。方法 彩超引导经阴道对输卵管妊娠囊或滋养层穿刺并注入氨甲蝶呤 (MTX)。结果 诊断符合率 41例 ,符合率 97.6% (4 1/ 42 ) ,误诊 1例 ,占 2 .4% (1/ 42 )。确诊的 41例早期输卵管妊娠中孕囊型 2 6例 ,心管搏动型 14例 ,流产型 1例 ,穿刺注药成功率为 10 0 % (4 1/ 41) ,治愈率为 95 .2 % (4 0 / 42 )。结论 超声引导介入治疗早期输卵管妊娠具有操作简便、安全、有效、无创伤性 ,局部用药浓度高、副作用小、费用少并取代了外科手术干预等优点 ,值得推广应用。
Objective To evaluate the clinical value of involved treatment of early stage fallopian tube pregnancy under color ultrasonic guidance. Methods We punctured fallopian tube pregnancy sac or nutritional layer and injected methot rexate (MTX) into them under color ultrasonic guidance through vagina. Results Forty-one cases had been decidedly diagnosed with the exception of only one (the accuracy rate:97.6% or 41/42). Of the 41 cases,26 were type of early stage fallopian tube pregnancy sac; 14, type of heart vascular beat; and one, type of abortion. The success rate of puncture and injection was 100% ( 41/41) and the cure rate was 95.2% (40/42). Conclusion Involved treatment of early stage fallopian tube pregnancy under ultrasonic guidance has such advantagements as easy operation, safety, efficiency, no trauma, high concentration of local medication, little side effects and less expense, and replacement of surgical procedure. Therefore this method is worth of recommending and using.
出处
《中国医学影像技术》
CSCD
2004年第3期446-448,共3页
Chinese Journal of Medical Imaging Technology
基金
南通市科学技术发展基金资助项目 (2 50 0 )
关键词
超声
介入性
妊娠
输卵管
氨甲蝶呤
Ultrasound,interventional
Pregnancy,tubal
Methot rexate
