经子宫动脉插管介入治疗输卵管妊娠  

Interventional Untrine Artery Catheterization in Treating Tubal Pregnancy

作　　者：赵荣刚 杨聪莉[2] 

机构地区：[1]西安市第二医院放射科,710003 [2]西安市中心医院妇产科

出　　处：《现代医用影像学》2011年第1期41-42,共2页Modern Medical Imageology

摘　　要：目的:探讨经子宫动脉插管介入治疗异位输卵管妊娠的临床价值。材料与方法:采用Selding技术,对38例输卵管妊娠患者行超选择性子宫动脉造影,先经导管向子宫动脉灌注化疗药MTX(氨甲喋呤)后,再用明胶海绵颗粒栓塞子宫动脉。术后观察临床症状、体征、尿hCG及盆腔内胚囊包块变化情况。结果:38例患者中36例获得成功,成功率为95%,尿hCG值在7～35天降至正常,术后30～45天月经恢复正常。19例术后行子宫输卵管造影者1例输卵管远端通而不畅。结论:经子宫动脉插管治疗输卵管妊娠是安全、有效和可行的方法。Purpose：To eveluate the value of treating tubal pregnancy with percutaneous intrauteroarterial infusion.Materials and Methods：Using Seldinger′s method,38cases of ectopic pregnancy received superselective angiography in uterine artery infusing MTX,then embolizing uterine artery with gelfoam particles.After the procedure,we should observe the changes of clinical symptom,physical signs,Urine hCG and the change.Results：36casec were successed.The success rate was95%.The time of urine hCG postoperation reaching to normal was within7~35days.Menstruation returned to normal within30~45days.19patients who undergoing hysterosalpingography,the oviduct were verified open in18cases.Conclusion：Intra-uteroartenal infusion is a safe and effecssfully method of treating unruptured tubal pregnancy.

关 键 词：妊娠 输卵管 放射学 介入性 

分 类 号：R714.22[医药卫生—妇产科学]