| 潘农,顾江红,王联欢.未破裂型输卵管妊娠超声引导下注射氨甲蝶呤治疗的价值[J].中国医学影像技术,2000,16(12):1095~1096 |
| 未破裂型输卵管妊娠超声引导下注射氨甲蝶呤治疗的价值 |
| Therapeutic Value of Unrupture Tubal Pregnancy by MTX Inject Under Ultrasonic Guide |
| 投稿时间：2000-05-10 |
| DOI： |
| 中文关键词: 超声引导下 经阴道侧穹窿穿刺 未破裂型输卵管妊娠 氨甲蝶呤 |
| 英文关键词:Ultrasound-guided Transvaginal side vault puncture Unrupture tubal pregnancy With MTX |
| 基金项目: |
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| 摘要点击次数: 1971 |
| 全文下载次数: 69 |
| 中文摘要: |
| 目的探讨超声引导下经阴道侧穹窿注射氨甲蝶呤治疗未破裂型输卵管妊娠的价值。方法对30 例
未破裂型输卵管妊娠进行超声引导下经阴道侧穹窿胚囊内或胚囊周围穿刺注射氨甲蝶呤(Methotrexate ,MTX) 20～
35mg ,杀胚治疗。结果超声引导下未破裂型输卵管妊娠肿块穿刺注射药物准确率100 % , 胚囊大小7.5 ±
5.38mm ,胚囊内注射成功率40 % ,胚囊周围注射成功率60 %;总治疗成功率96.7 %。注射MTX 后,超声表现为胚
囊变形、缩孝最后消失,胚囊周围滋养层血流显著减少、直至消失,约3～6 周后宫外孕肿块消失。结论超声引导
下经阴道侧穹窿穿刺注射氨甲蝶呤治疗输卵管妊娠,操作较简便,损伤较小,局部给药浓度高,疗效较好,疗程较短,
有一定的临床价值。 |
| 英文摘要: |
| Objective To explore the value of treatment for the unrupture type of tubal pregnancy by injecting MTX
transvaginal side vault ultrason-guided. Methods Thirty cases received the embryo killing treatment by injecting 20～
35mg MTX inside or outside of the gestation sac through puncturing vaginal side vault under ultrasonic guide. Results
The accuracy rate of MTX inject into the tubal pregnancy was 100 %. The lump average size was 7.5 ±5.38mm. The successful rate of inside gestation sac injection was 40 % and around of gestation sac was 60 %. The total successful rate was
96.7 %. Gestation sac appeared gradually deformed , minified and finally disappeared. The blood flow of plasmodiblast gestation sac was reduced and the 1ump disappeared within 3 to 6 weeks. Conclusion This method of treatant offers high
drug concentration in local region , good effect and shorter treatment course. |
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