血管内介入治疗输卵管妊娠42例分析

目的 探讨血管内介入治疗输卵管妊娠的疗效和安全性.方法 42例输卵管妊娠患者在数字减影血管造影（DSA）电视透视下行双侧子宫动脉插管、子宫动脉灌注氨甲蝶呤（MTX）和明胶海绵颗粒栓塞治疗.结果 40例患者治疗后血β-HCG值下降,妊娠包块吸收.2例栓塞后妊娠包块出血,急诊手术治疗,但出血量〈400 ml.结论 血管内介入治疗输卵管妊娠能够保留输卵管正常功能,对未生育的女性尤为适用.

Interventional Therapy By Trans Uterine Artery for Treatment of 42 Patients With Tubal Pregnancy

Objective To analyze the effect and safety of interventional therapy by trans uterine artery for treatment of tubal pregnancy. Methods Forty-two patients with tubal pregnancy were performed two side uterine arteries. MTX perfusion and embolization with gelfoam particles guided by DSA fluoroscopy. Results Forty patients obtained the decline of serum β-HCG value and 39 patients' ectopic mass absorption after treatment. Two patients occurred ectopic mass bleeding after interventional therapy and emergency surgical operation were done, but the amount of bleeding was low than 400ml. Conclusion Interventional therapy by trans uterine artery for treatment of tubal pregnancy could preserve the function of fallopian tubal, it was more benefit for patients who want normal pregnancy.