摘要
目的：探讨经子宫动脉介入治疗输卵管妊娠的可行性及其疗效和价值。材料与方法：采用血管内介入治疗36例输卵管妊娠患者。以Seldinger法穿刺插管,用4.1~5.0F cobra导管行超选择性子宫动脉内灌MTX（50~80mg）或/和5-FU（250~500mg）,灌注后用明胶海绵栓塞子宫动脉;术前术后观察临床症状、体征、血β-HCG值（人绒毛膜促性腺激素）及肿块大小变化。结果：34例获得一次性成功,2例不成功,成功率达97%,和文献报道的98%基本相符。结论：经子宫动脉介入治疗输卵管妊娠安全有效,无明显不适,并可预防和控制破裂后致命性大出血,是输卵管妊娠的首选治疗方法。
Purpose： To study the methods and clinical effect and value of transuterinal artery interventional therapy fallopian tubal pregnancy. Materials and Methods： We cured 36 cases of fallopian tubal pregnancy by intervention used seldinger method. 4.1 ~ 5.0 F Cobra catherter were used for peffoiming superselective angiography in uterine artery and then infusing MTX 50 - 80mg or 5 - FU 250 ~ 500mg, finally gelfoan particles or stripes were used to embolize uterine artery, before and after the procedure patients showed changes of clini- cl symptom, physical singns, value of urine ~ - HCG and size of pregnancy cyst were studied. Results： 34 eases were succeded two was fail. the successful rate was 97%. basically approached the literature reported. Conclusion： It is safe and efficient in performing transuterine artery chemoembolization for fallopian tubal pregnancy. It could prevent and control fatal bleeding induced by pregnancy cyst rapture. It is first method to therapy fallopian tubal pregnancy.
出处
《现代医用影像学》
2008年第4期206-208,共3页
Modern Medical Imageology
关键词
异位妊娠
输卵管
子宫动脉
介入治疗
Pregnancy of fallopian tubal Uterine artery Intervention
