经子宫动脉途径介入治疗输卵管妊娠  

Transuterinal artery interventional therapy for fallopian tubal pregnancy

作　　者：姜在波[1] 单鸿[1] 关守海[1] 马壮[1] 黄明声[1] 李征然[1] 朱康顺[1] 陈汉威[2] 肖继波 穆永胜 

机构地区：[1]中山医科大学附属第三医院放射科,广州510630 [2]广州市番禺区人民医院放射科 [3]进修生

出　　处：《介入放射学杂志》2001年第2期86-88,共3页Journal of Interventional Radiology

摘　　要：目的　探讨经子宫动脉途径治疗输卵管妊娠的可行性和临床疗效。方法　采用介入方法治疗 34例输卵管妊娠患者。以 4.1～ 5 .0F导管行超选择性子宫动脉内灌注MTX(氨甲喋呤 ) 5 0～10 0mg ,灌注后用明胶海绵栓塞子宫动脉。术前、术后观察临床症状、体征、尿 β hCG(人绒毛膜促性腺激素 )值及肿块大小变化。结果　 34例中 31例获得成功 ,成功率达 91%。无不良反应发生。 40支子宫动脉造影 ,显示输卵管动脉 37支 ,显示率为 92 .5 % ;卵巢染色 2 7例次 ,发现率达 6 8%。 6例显示孕囊染色 ,显示率为 18%。结论　子宫动脉是输卵管的主要供血动脉 ,经子宫动脉途径介入治疗输卵管妊娠安全有效 ,并可预防和控制破裂大出血。Objective To study the methods and clinical effect of transuterinal artery interventional therapy of fallopian tubal pregnancy. Methods We cured 34 cases of fallopian tubal pregnancy by interventional methods. In the procedure, 4.1 5.0F catheters were used for performing superselective angiography in uterine artery and then infusing Methotrexate 50 100mg. Finally gelfoam particles or stripes were used to embolize uterine artery. Before and after the procedure, patients showed changes of clinical symptom, physical signs. Value of urine β hCG and size of pregnancy cyst were studied. Results 31 cases were succeeded. The successful rate was 91%. 37 fallopian tubal arteries were displayed in 40 uterine arterial angiographies. The stain of ovary was shown done in 21 cases, the appearance rate was 68%. The stain of pregnant cyst was in six cases, the appearance rate was 18%. Conclusion It is safe and efficient in performing transuterine artery chemoembolization for therapy of fallopian tubal pregnancy. It could prevent and control fatal bleeding induced by pregnancy cyst rupture.

关 键 词：异位妊娠 输卵管 子宫动脉 介入性放射学 治疗 

分 类 号：R714.22[医药卫生—妇产科学]