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子宫动脉栓塞治疗输卵管妊娠23例临床分析
引用本文:肖高社,林莉,魏尚彬,席恒. 子宫动脉栓塞治疗输卵管妊娠23例临床分析[J]. 现代医用影像学, 2010, 19(5): 289-291
作者姓名:肖高社  林莉  魏尚彬  席恒
作者单位:1. 西安医学院第二附属医院介入科
2. 西安市第四医院妇产科
3. 西安市第四医院介入科
摘    要:
目的:研究子宫动脉栓塞治疗输卵管妊娠的临床特点及治疗效果。材料与方法:采用Seldinger技术,经股动脉穿刺,对23例输卵管妊娠患者行超选择子宫动脉造影。根据造影表现,灌注甲氨蝶呤50—100mg,后用明胶海绵颗粒栓塞子宫动脉。术后连续监测B-HCG值,"B"超测量孕囊大小,以及血检MTX浓度。结果:23例有21例治疗获得成功。2例改为其他治疗方法。结论:子宫动脉灌注加栓塞治疗输卵管妊娠具有安全、简单、疗效好等优点,已被广泛应用。

关 键 词:介入放射学  妊娠  输卵管  栓塞  治疗

Treatment of Tubal Pregnancy by Uterine Artery Perfusion and Embolization(A Report of 6 Cases)
Xiao Gaoshe,Lin Li,Wei Shangbin,Xi Hen. Treatment of Tubal Pregnancy by Uterine Artery Perfusion and Embolization(A Report of 6 Cases)[J]. Modern Medical Imagelogy, 2010, 19(5): 289-291
Authors:Xiao Gaoshe  Lin Li  Wei Shangbin  Xi Hen
Affiliation:Xiao Gaoshe Lin Li Wei Shangbin Xi Hen Department of Interventional Second Affiliated Hospital of Xi'an Medical College 710038 Department of Interventional Xi'an 4.Hospital 710004
Abstract:
Purpose:To search for a new,simple,rapid,safe and effiective.Discusses after the caratie uterna.Irrigation emhoism treats the tubal the feasibility and the curatie effection.Materials and Methods:using modified seldinger technige,23cases of tubal pregancy receved.super-selective angiography of uterine artery.followed by perfusion of 50-100mg MTX through the catheter and embolization of uterine artery with gelatin sponge,Afer the procedues,observes the B-ultrasonic and β-HCG change;concentrations of MTX in peripher.Results:21 out of 23cases were cured with successful.Conclusion:it is simple,safe and efficient in performing trans-uterine artery cheno-embolization for therapy of fallopian tubal pregnancy.
Keywords:Interventional  Radiology Tubal Pregnancy Embolization Therapeutic
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