31例经子宫动脉介入治疗输卵管妊娠疗效分析
Gansu Medical Journal(2010)
Abstract
目的:探讨经子宫动脉介入治疗输卵管妊娠的可行性及其疗效和价值.方法:采用血管内介入治疗31例输卵管妊娠患者.以Seldinger法穿刺插管,用4.1~5.0FCobra导管行超选择性子宫动脉内灌MTX(50~80mg)或/和5-FU(250 ~ 500mg),灌注后用明胶海绵栓塞子宫动脉.术前术后观察临床症状、体征、血β - HCG值(人绒毛膜促性腺激素)及肿块大小变化.结果:30例获得一次性成功,1例不成功,成功率达97%,和文献报道的98%基本相符.结论:经子宫动脉介入治疗输卵管妊娠安全有效,无明显不适,并可预防和控制破裂后致命性大出血,是输卵管妊娠的首选治疗方法.
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