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彩色多普勒超声引导介入治疗输卵管间质部妊娠 被引量:2

Ultrasound Guided Interventional Treatment of Tubal Interstitial Pregnancy
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摘要 目的 探讨微创治疗输卵管间质部妊娠的新方法。方法 对 7例输卵管间质部妊娠病人在超声引导下向胚囊及胎盘组织内多点缓慢注入 5 Fu 10 0~ 2 5 0mg。结果 全部病例均治愈。未出现并发症和副作用。血HCG平均 5周内降到 3 0 0U /ml以下。 1( 1/ 7)例经二次 5 Fu注药治疗后降至正常。结论 超声导向局部注射 5 Fu治疗输卵管间质部妊娠准确、安全 ,无副反应 ,效果可靠。 Objective To explore the new non-invasive method for treatment of interstitial pregnancy. Methods In 7 patients with interstitial pregnancy, 5-Fu (100-250mg of each) were injected slowly into embryo and placenta under the guidance of ultrasound. Results All patients were cured and no complications and side effects were observed. Blood level of human chorionic gonadotropin (HCG) reduced to less than 300U/ml within an average of 5 weeks. Conclusion Local injection of 5-Fu guided by ultrasound in treatment of interstitial pregnancy is effective, safe and with no side effect. It could be a good method in interstitial pregnancy treatment.
出处 《中国医学影像技术》 CSCD 2003年第5期622-623,共2页 Chinese Journal of Medical Imaging Technology
关键词 间质部妊娠 介入性超声 治疗 Interstitial pregnancy Interventional ultrasound Treatment
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参考文献3

  • 1[1]Wang Jinrui,Yang Jingying,Zhou Chongying,et al. Ultrasound guided observation of ectopic pregnancy(EP) treatment with local injection of 5-Fu[C]. The 4th Congress of Asian Federation of Societies for Ultrasound in Medicine and Biology (Program and Abstracts).1995.66.
  • 2[3]Benifla JL,Fernandez H,Sebban E. Alternative to surgery of unruptured interstitial pregnancy: 15 cases of medical treatment[J]. European Journal of Obstetrics & Gynecology and Reproductive Biology,1996,70: 151-156.
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同被引文献12

  • 1刘雁,江丽,石静.经阴道超声引导局部注射氨甲喋呤治疗未破裂型输卵管妊娠的应用[J].中国超声医学杂志,2006,22(1):50-52. 被引量:10
  • 2肖彬,王春瑜,赵霞,白姣,杨波,李刚.超声引导下局部注射药物治疗未破裂异位妊娠[J].郧阳医学院学报,2006,25(6):359-360. 被引量:4
  • 3Feichtinger W, Remetr E Conservative treatment of ectopic pregnancy by transvaginal aspiration under sonographic control and methotrexate injection. Lancet, 1987, 1(8529): 381-382.
  • 4Moawad NS, Mahajan ST, Moniz MH, et al. Current diagnosis and treatment of interstitial pregnancy. Am J Obstet Gynecol, 2010, 202(1): 15-29.
  • 5Verity L, Ludlow J, Dickinson JE. Interstitial ectopic pregnancy: a contemporary case series. Aust N Z J Obstet Gynaecol, 2003, 43(3): 232-235.
  • 6Tang A, Baartz D, Khoo SK. A medical management of interstitial ectopic pregnancy: a 5-year clinical study. Aust N Z J Obstet Gynaecol, 2006, 46(2): 107-111.
  • 7曹泽毅.中华妇产科学[A]北京:人民卫生出版社,19991327.
  • 8Fernandez H,Lelaidier C,Doumerc S. Nonsurgical treatment of heterotopic pregnancy:a report of six cases[J].Fertility and Sterility,1993,(03):428-432.
  • 9Bixby S,Tello R,Kuligowska E. Presence of a yolk sac on transvaginal sonography is the most reliable predictor of singledosemethotrexate treatment failure in ectopic pregnancy[J].Journal of Ultrasound in Medicine,2005,(05):591-598.
  • 10Benifla JL,Fernandez H,Sebban E. Alternative to surgery of unruptured interstitial pregnancy:15 cases of medical treatment[J].Euro J Obstetrics & Gynecology and Reproductive Biol,1996,(02):151-156.

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