| 关守海,姜在波,单鸿,侯红英,马壮,黄明声,朱康顺.输卵管妊娠两种介入治疗方法的比较[J].中国医学影像技术,2000,16(12):1088~1090 |
| 输卵管妊娠两种介入治疗方法的比较 |
| Dual Interventional Attempts to Tubal Pregnancy Comparative Analysis |
| 投稿时间：2000-05-16 |
| DOI： |
| 中文关键词: 异位妊娠 输卵管 放射学 介入性 |
| 英文关键词:Ectopic pregnancy Fallopian tube Radiology Interventional |
| 基金项目: |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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. |
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