宫腔镜下插管注射MTX治疗持续异位妊娠的临床体会

目的探讨宫腔镜下插管注药治疗持续异位妊娠的可行性。方法对6例药物保守治疗失败的病人采取宫腔镜下插管注药(MTX)，观察hCG、附件区包块的变化、腹部体征、肝肾功能。结果6例病人均成功治愈，达到临床目的，无1例出现并发症。结论宫腔镜下插管注药治疗持续异位妊娠微创、痛苦小、经济、简单、安全、有效。

Clinical experience in the therapy of chronic ectopic pregnancies treated with injecting methotrexate through hysteroscopic tubal catheter under hysteroscope supervision

Objective] To investigate the possibility of the therapy of chronic ectopic pregnancies treated with injecting methotrexate through hysteroscopic tubal catheter under hysteroscope supervision. Methods] 6 cases with chronic ectopic pregnancies with the failed treatment of systemic methotrexate were treated with injecting methotrexate through hysteroscopic tubal catheter under hysteroscope supervision, then quantitative hCG, adnexal mass, abdominal signs and liver and renal functions were examined. Results] All the 6 cases were cured, achieved clinic purpose, and with no complication. Conclusions] The therapy of chronic ectopic pregnancies treated with injecting methotrexate through hysterscopic tubal catheter is microlesion and painless, simple and economy, safe and effective under hysteroscope supervision.