经子宫动脉插管治疗输卵管妊娠(附60例报告)

目的：探讨治疗输卵管妊娠的新方法。方法：应用Seldinger‘s技术，将5F cobra导管经股动脉插入输卵管妊娠侧子宫动脉造影，根据造影表现选择MTX用量，经导管匀速推注，然后推注（反复高温、高压蒸汽消毒）明胶海绵颗粒将妊娠侧子宫动脉栓塞。结果：（1）输卵管妊娠有三种血管造影表现；（2）60例输卵管妊娠病人，终止妊娠57例，成功率95％。结论：经子宫动脉插管治疗输卵管妊娠创伤小、成功率高、能保留患侧输卵管，值得应用推广。

Treatment of tubal pregnancy by uterine artery catheterization (a report of 60 cases )

Objective:To investigate a new method to treat tubal pregnancy.Methods:A 5F cobra catheter was introduced to the uterine artery supplying the pregnant tube by Seldinger's technique,and then uterine arteriography was done to determine the dosage of MTX.Through the catheter,MTX was infused slowly,and then the uterine artery was embolized by the particles of gelfoam.Results:1.Three kinds of angiographic findings were shown in tubal pregnancy;2.Tubal pregnancy were successfully terminated in 57 of 60 patients,and the success rate is 95%. Conclusion: Selective arterial embolization of the uterine artery is a safe and effective method for controlling tubal pregnancy.