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目的:探讨经子宫动脉插管介入治疗异位输卵管妊娠的临床价值。材料与方法:采用Selding技术,对38例输卵管妊娠患者行超选择性子宫动脉造影,先经导管向子宫动脉灌注化疗药MTX(氨甲喋呤)后,再用明胶海绵颗粒栓塞子宫动脉。术后观察临床症状、体征、尿hCG及盆腔内胚囊包块变化情况。结果:38例患者中36例获得成功,成功率为95%,尿hCG值在7～35天降至正常,术后30～45天月经恢复正常。19例术后行子宫输卵管造影者1例输卵管远端通而不畅。结论:经子宫动脉插管治疗输卵管妊娠是安全、有效和可行的方法。
Objective: To investigate the clinical value of interventional treatment of ectopic tubal pregnancy by uterine arterial cannulation. MATERIALS AND METHODS: Thirty-eight patients with tubal pregnancy underwent superselective uterine artery angiography using Selding technique. First, the chemotherapeutic drug MTX (methotrexate) was infused into the uterine artery via catheter, and then the uterine artery was embolized with gelatin sponge particles. Postoperative observation of clinical symptoms, signs, urine hCG and pelvic endometrial mass changes. Results: Thirty-six of the 38 patients were successful, with a success rate of 95%. Urine hCG values were normalized from 7 to 35 days and normal menstruation returned to normal after 30 to 45 days. 19 cases of hysterosalpingography 1 case of tubal distal pass and poor. Conclusion: Uterine artery catheterization for tubal pregnancy is a safe, effective and feasible method.