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目的 评价输卵管妊娠非血管介入治疗及球茎端导管的应用价值。方法 在X线透视下,选用球茎端导管引导3 F微细导管配0.045 cm白金头导丝,经阴道、宫腔插入输卵管内,对输卵管妊娠的孕囊进行穿刺,并注入氨甲喋呤,使孕囊死亡。结果 65例患者插管均一次成功,58例患者治愈,治愈率为 89.23%。5 例患者(8.62%)介入治疗后β HCG下降, 2例患者(3.45%)治疗后β HCG上升,转手术治疗。65 例患者均未出现并发症。15 例患者术后复查,患侧输卵管通畅。结论 输卵管妊娠介入治疗是一种可行性的新方法,安全,经济,疗效高。术后患侧输卵管通畅,保留了生育能力,适合临床上广泛应用。
Objective To evaluate the non-vascular interventional treatment of tubal pregnancy and the application value of bulbous catheter. Methods X-ray fluoroscopy was used to guide the 3 F microcatheter with 0.045 cm white gold guide wire through the vagina and the uterine cavity to insert the cyst into the oviduct and to puncture the gestational sac of tubal pregnancy and inject methotrexate to kill the gestational sac . Results All 65 patients were successfully intubated, and 58 patients were cured. The cure rate was 89.23%. The β HCG decreased in 5 patients (8.62%) after interventional therapy, and β HCG increased in 2 patients (3.45%) after treatment. No complications occurred in 65 patients. Fifteen patients underwent a postoperative review, with tubal patency of the affected side. Conclusion Interventional tubal pregnancy is a feasible new method, which is safe, economical and effective. Ipsilateral tubal patency, retained fertility, suitable for clinical use.