超声介入技术用于早期输卵管妊娠治疗  

Ultrasound Intervention Applied to the Treatment of Early Fallopian Tube Pregnancy

作　　者：谢阳桂[1] 于秀[2] 张璇[3] 黄健[1] 黄德年[3] 施建飞[3] 

机构地区：[1]南通大学附属医院影像科,江苏省南通市226001 [2]南通大学附属医院实验室,江苏省南通市226001 [3]南通大学附属医院妇产科,江苏省南通市226001

出　　处：《中国超声医学杂志》2005年第8期610-612,共3页Chinese Journal of Ultrasound in Medicine

基　　金：南通市社会发展科技计划基金资助(No.S2055)

摘　　要：目的研究超声介入治疗早期输卵管妊娠的临床应用价值。方法采用经阴道对76例输卵管妊娠的孕囊进行穿刺,并注入氨甲蝶呤。结果一次性介入治疗治愈率为85.5%(65/76),有效率为10.5%(8/76),无效占3.9%(3/76)。对有效的8例作第2或第3次介入治疗后总治愈率达96.1%(73/76),3例无效者改手术治疗。结论彩超引导介入治疗早期FTP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,为早期FTP开辟了一条新的治疗途径。Objective To study the clinical value of application of color ultrasound intervention to the treatment of early fallopian tube pregnancy （FTP） . Methods For 76 cases of FTP, the pregnancy sacks were punctured and injected with methotrexate （MTX） through vagina. Results The cure rate at one time was 85.5% and the efficacy rate, 10.5 % and inefficacy rate, 3.90%. The 8 efficacy cases had such a cure rate that reached 96.1% after being treated for the second or third time and the 3 cases with no efficacy were treated surgically instead. Conclusions The above mentioned treatment has such advantages as simplicity, safety, efficacy, no iniury, high local concentration of drugs, small side-effects, little expense and omission of surgical involvement, thus opening up a new way of treatment.

关 键 词：超声介入技术 输卵管妊娠 治疗 临床应用 

分 类 号：R714.22[医药卫生—妇产科学]