输卵管妊娠的介入治疗

Fluoroscopically Guided Interventional Treatment of Tubal Pregmency

目的:采用自行改制的专用套管和介入放射学方式,尝试治疗输卯管妊娠的可行性。方法:对临床确诊的10例早期输卵管妊娠病例实行 X 线监视下的选择性输卯管插管,局部灌注氨甲喋呤(MTX),终止妊娠。结果:杀胚100％,除1例因不全流产内出血改妇科手术外,余9例均治愈,正常月经恢复时间平均40天。结论:选择性输卵管插管,患侧 MTK 灌注治疗输卵管妊娠是安全、可靠、简便、直观、易被患者接受的,有推广的意义的方法。

Objective:To evaluate the efficacy of radiologic intervention technique in the traatment of ectopic tubal pregnancy with home-made special cannula.Methods:Under fluoroscop- ic control,selectve transcervical cannulation of fallopian tubes was performed in ten women who had been diagnosed as early unruptured tubal pregnancies.During the procedure,the ectopic tubal ges- tations were treated by intratubal instillation of methotrexale(MTX).Results:Treatment was suc- cessful in 9 of the 10 cases with the eventual resuh of complete resolution of the gestation sac(GS) and termination of the ectopic pregnancies.The remaining one subsquently underwent surgery be- cause of incomplete tubal abortion and continued bleeding during the conservative treatment.In suc- cessfullytreated cases,the first menstrual period was observed in a mean period of 40 days after the treatment.Conclusion:Local MTX administration by means of transcervical tubal catheterization un- der fluoroscopic guidance provide a safe,effective and promising alternative for the management of unruptured tubal pregnancy,which may be readily accepted by patients.