经子宫动脉介入治疗输卵管妊娠  

Interventional therapy for Fallopian Tubal Pregnancy

作　　者：金涛[1] 江谋应 徐万里[1] 王金林[1] 

机构地区：[1]安徽省安庆市第一人民医院放射科,安徽246003

出　　处：《当代医学》2009年第17期340-342,共3页Contemporary Medicine

摘　　要：目的探讨选择性子宫动脉插管化疗栓塞治疗输卵管妊娠的临床疗效及相关因素。方法采用改良Seldinger技术,对27例输卵管妊娠患者进行子宫动脉造影,经导管向患侧子宫动脉内灌注化疗药MTX(一例加注5-Fu),并用明胶海绵颗粒栓塞子宫动脉。术后观察临床症状、体征、血β-hCG、盆腔包块变化情况及腹腔积液吸收情况。结果27例子宫动脉插管均成功,26例治愈,1例无效,治愈率96.3%,无明显并发症发生。其中4例术后3～10月分别获得宫内妊娠并生育健康婴儿。结论经子宫动脉介入治疗输卵管妊娠创伤小,治愈率高,能有效控制预防腹腔内出血,保留输卵管的完整性,保留生育能力而治愈输卵管妊娠的有效方法。Objective： The article is to discuss the clinical effect and related factors to treat the tubal pregnancy patients by uterine artery chemoembolization. Methods： 27 cases of tubal pregnancy patients received uterine artery angiography. The target uterine artery were injected therapeutic MTX （one case by injecting 5-Fu） through catheter and then embolized with gel foam. The clinical symptom, physical hydrops, β -hCG blood and pelvic hematacele change and absorbing of pelvic hydrops were followed after the surgeries. Result： All cases succeed, 26 of which cured and only 1 failed. The cure rate was 96.3% and there was no complications. 3-10 months after the surgery, 4 patients had healthy babies. Conclusion： It is minimal invasive, with high cure rate and preventing intraperitonea bleeding effectively and keeping the integrity of the arteria uterine with interventional therapy. It is an effective way of curing the tubal pregnancy and remain fertile.

关 键 词：妊娠 异位 输卵管 介入性 氨甲喋呤 

分 类 号：R714.22[医药卫生—妇产科学]