经子宫动脉介入治疗输卵管妊娠的疗效分析

目的：探讨经子宫动脉灌注加栓塞治疗输卵管妊娠的临床疗效。方法：采用介入方法治疗26例输卵管妊娠患者，行超选择子宫动脉灌注甲氨喋呤（MTX）75～90mg。再用明胶海绵栓塞子宫动脉。术前、术后观察临床症状、体征、β-hCG（人绒毛膜促性腺激素）值及肿块大小变化。结果：26例中25例成功，成功率达96．16％。结论：经子宫动脉途径介入灌注栓塞治疗输卵管妊娠安全有效，并可预防和控制破裂大出血。

The Clinical Effects of Transuterinal Artery Interventional Therapy for Fallopian Tubal Pregnancy

Objective： To study the clinical effect for using uterine artery perfusion and embolization in tubal pregnancy. Methods： We cured 26 cases of fallopian tubal pregnancy by interventional methods. Treated by super selective trans-uterine artery （TUA） catheterization with Methotre-xate （MTX） 75-90mg and then embolized the uterine arteries by gelfoam. Before and after the procedure, changes of clinical symptom, physical signs, value of serum β-hCG and size of pregnancy cyst were studied. Results： 25 cases were succeeded. The successful rate was 96.16%. Conclusion： It is safe and efficient in performing transuterine artery chemoembolization for therapy of fallopian tubal bleeding induced by pregnancy cyst rupture.