输卵管妊娠两种介入治疗方法的比较  

Dual Interventional Attempts to Tubal Pregnancy Comparative Analysis

作　　者：关守海[1] 姜在波[1] 单鸿[1] 侯红英[1] 马壮[1] 黄明声[1] 朱康顺[1] 

机构地区：[1]广州中山医科大学附属第三医院放射科，广东 广州 510630

出　　处：《中国医学影像技术》2000年第12期1088-1090,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　比较经阴道输卵管和子宫动脉两种途径灌注氨甲蝶呤 (MTX)治疗输卵管妊娠的差异和特点。方法　 46例输卵管妊娠患者分别经阴道输卵管或子宫动脉途径灌注MTX ,终止妊娠。结果　 15例经阴道输卵管灌注治疗 ,成功率 93 %。 31例经子宫动脉灌注治疗 ,成功率 90 3%。结论　经阴道输卵管和子宫动脉灌注MTX均可安全有效治疗输卵管妊娠 ,总体疗效相当。两者各具特点 :前者可清楚显示孕囊 ,并可穿破孕囊直接注药 ;后者可同时做栓塞治疗预防破裂出血。Objective To compare the difference and characteristic of trans-vaginal tubal injection and percutaneous intra-uterinoarterial infusion methotreate(MTX) to treat tubal pregnancy. Methods 46 patients diagnosed as ectopic tubal gestations were treated using MTX by trans-vaginal tubal of intra-uterinoartery infused. Results 15 patients received trans-vaginal tubal injection.31 patients received intra-uterinoarterial infusion.The total successful rate was 93% and 90 3%. Conclusion Tubal pregnancy could be effectively and safely treated using MTX by intratubal or intra-uterinoartery infusion.Their effects were equal.The procedures have respective characteristic:the former could clearly show the gestational sac,and directly inject MTX into gestational sac,the latter can prevent and control hemorrhage of fallopian by embolized uterinoartery. [

关 键 词：异位妊娠 输卵管 介入性放射学 治疗 

分 类 号：R714.220.5[医药卫生—妇产科学]