输卵管妊娠放射介入治疗的临床研究  

Clinical research of radioactive interventional therapy for tubal pregnancy

作　　者：李小毛[1] 侯红瑛[1] 范建辉[1] 陶淑芸[1] 黄怀筠[1] 朱康顺[2] 

机构地区：[1]中山医科大学附属第三医院妇产科,广州510630 [2]中山医科大学附属第三医院介入科,广州510630

出　　处：《中国实用妇科与产科杂志》2000年第12期735-736,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　探讨输卵管妊娠放射介入治疗的临床疗效及适应证。方法　采用X线影像监视下选择性子宫动脉内插管 ,一次性灌注MTX 5 0mg或MTX 80mg加 5 -FU 5 0 0mg ,并辅以明胶海绵颗粒栓塞治疗输卵管妊娠 2 8例 ,观察其症状、体征、血尿 β -hCG及B超结果的变化情况。 结果　 2 5例输卵管妊娠经介入治疗成功 ,治愈率为 89 3%。腹痛症状于介入治疗后 5 17天内消失 ,阴道流血症状于介入治疗后 313天内消失。血、尿β -hCG于介入治疗后 3周内转为阴性。B超检查盆腔液性暗区 80 %于介入治疗后 2周内消失 ,附件包块 88%于介入治疗后 4周内消失。Objective To study the clinical effects and indication of the radioactive interventional therapy for tubal pregnancy.Methods 28 tubal pregnancy cases were treated with selective intubation,one-shot perfusion MTX 50mg or MTX 80mg+5-FU 500mg,combined with gelfoam particles embolization via uterine artery with the help of X-ray image.The change of symptoms,signs,β-hCG in blood and urine,results of B-Ultrasonogram were observed.Results 25 cases were treated successfully,the curative rate was 89 3%.After interventional therapy,abdominal pain disappeared in 5~17 days,vaginal bleeding released in 3~13 days.The β-hCG in blood and urine couldn’t be examined in 3 weeks.The liquid in the pelvic cavity of 80% cases disappeared in 2 weeks,while the mass of 88% cases disappeared in 4 weeks through B Ultrasonogram.Conclusion The radioactive interventional therapy is effective for unruptured tubal pregnancy and ruptured or aborted tubal pregnancy without marked anemia or shock.

关 键 词：放射介入治疗 输卵管妊娠 疗效 适应证 

分 类 号：R714.221[医药卫生—妇产科学]