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超声介入技术用于早期输卵管妊娠治疗
引用本文:谢阳桂,于秀,张璇,黄健,黄德年,施建飞.超声介入技术用于早期输卵管妊娠治疗[J].中国超声医学杂志,2005,21(8):610-612.
作者姓名:谢阳桂  于秀  张璇  黄健  黄德年  施建飞
作者单位:1. 226001,江苏省南通市,南通大学附属医院影像科
2. 226001,江苏省南通市,南通大学附属医院实验室
3. 226001,江苏省南通市,南通大学附属医院妇产科
基金项目:南通市社会发展科技计划基金资助(No.S2055)
摘    要:目的研究超声介入治疗早期输卵管妊娠的临床应用价值。方法采用经阴道对76例输卵管妊娠的孕囊进行穿刺,并注入氨甲蝶呤。结果一次性介入治疗治愈率为85.5%(65/76),有效率为10.5%(8/76),无效占3.9%(3/76)。对有效的8例作第2或第3次介入治疗后总治愈率达96.1%(73/76),3例无效者改手术治疗。结论彩超引导介入治疗早期FTP具有操作简便、安全、有效、无创伤性,局部用药浓度高,副作用小,费用少并取代了外科手术干预等优点,为早期FTP开辟了一条新的治疗途径。

关 键 词:早期输卵管妊娠  超声引导  介入治疗
收稿时间:2005-04-29
修稿时间:2005年4月29日

Ultrasound Intervention Applied to the Treatment of Early Fallopian Tube Pregnancy
Xie YangGui;Yu Xiu;Zhang Xuan;Huang Jian;Huang DeNian;Shi JianFei.Ultrasound Intervention Applied to the Treatment of Early Fallopian Tube Pregnancy[J].Chinese Journal of Ultrasound in Medicine,2005,21(8):610-612.
Authors:Xie YangGui;Yu Xiu;Zhang Xuan;Huang Jian;Huang DeNian;Shi JianFei
Abstract:Objective To study the clinical value of application of color ultrasound intervention to the treatment of early fallopian tube pregnancy(FTP).Methods For 76 cases of FTP,the pregnancy sacks were punctured and injected with methotrexate (MTX) through vagina.Results The cure rate at one time was 85.5% and the efficacy rate,10.5% and inefficacy rate,3.9%.The 8 efficacy cases had such a cure rate that reached 96.1% after being treated for the second or third time and the 3 cases with no efficacy were treated surgically instead.Conclusions The above mentioned treatment has such advantages as simplicity,safety,efficacy,no injury,high local concentration of drugs,small side-effects,little expense and omission of surgical involvement,thus opening up a new way of treatment.
Keywords:Early fallopian tube pregnancy  Guidance of ultrasound  Treatment by intervention  
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