输卵管妊娠两种介入治疗方法的比较

Dual Interventional Attempts to Tubal Pregnancy Comparative Analysis

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。

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. [