18例入手术治疗输卵管异位妊娠的临床分析

目的探讨经双侧子宫动脉灌注甲氨蝶呤及介入栓塞治疗输卵管妊娠的临床应用。方法分析18例输卵管妊娠患者行双侧子宫动脉造影，甲氨蝶呤灌注栓塞对治疗前后患者的血B—hCG下降，B超检查及术后4个月子宫输卵管碘油造影检查（HSG）输卵管通畅率作为治疗效果的评价手段。结果18例患者中17例患者治疗后复查B超提示胚胎缩小，B—hCG明显下降，阴道出血减少或中止，1例患者胚胎继续生长有内出血情况转手术治疗。4个月后17例患者行子宫输卵管碘油造影，15例通畅，通畅率83．3％。结论双侧子宫动脉灌注甲氨蝶呤化疗及介入栓塞术治疗输卵管妊娠是一种损伤小、疗效佳的治疗技术，是保守治疗输卵管妊娠的有效方法。

Surgical treatment of 18 patients involved in clinical analysis of tubal ectopic pregnancy

Objective To evaluate methotrexate and bilateral uterine artery embolization treatment of tubal pregnancy in the clinical application. Methods 18 patients with tubal pregnancy were treated with uterine artery angiography, emboliza- tion perfusion before and after treatment with methotrexate in patients with decreased serum 13 - hCG, B - ultrasound and 4 months after hysterosalpingography examination （HSG） Tubal pateney rate as the evaluation of treatment means. Results In 18 patients, 17 patients were reviewed after treatment, B -prompt reduce embryo, 13 -hCG decreased significantly reduce or stop bleeding, a case of bleeding in patients with conditions the growth of embryos to transfer surgery. 4 months in 17 patients underwent hysterosalpingography, 15 cases of patency, patency rate of 83.3%. Conclusion Bilateral uterine artery metho- trexate chemotherapy and embolization in the treatment of tubal pregnancy is a little damage, excellent efficacy of therapy was an effective conservative treatment method for tubal pregnancy.