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目的 比较经阴道输卵管和子宫动脉两种途径灌注氨甲蝶呤 (MTX)治疗输卵管妊娠的差异和特点。方法 46例输卵管妊娠患者分别经阴道输卵管或子宫动脉途径灌注MTX ,终止妊娠。结果 15例经阴道输卵管灌注治疗 ,成功率 93 %。 31例经子宫动脉灌注治疗 ,成功率 90 3%。结论 经阴道输卵管和子宫动脉灌注MTX均可安全有效治疗输卵管妊娠 ,总体疗效相当。两者各具特点 :前者可清楚显示孕囊 ,并可穿破孕囊直接注药 ;后者可同时做栓塞治疗预防破裂出血。
Objective To compare the differences and characteristics of tubal pregnancy induced by methotrexate (MTX) by transvaginal tubal and uterine artery. Methods 46 cases of tubal pregnancy were transvaginal tubal or uterine artery infusion MTX, termination of pregnancy. Results 15 cases of transvaginal tubal infusion therapy, the success rate of 93%. 31 cases of uterine artery infusion therapy, the success rate of 90 3%. Conclusion Transvaginal tubal and uterine arterial infusion of MTX can be safe and effective treatment of tubal pregnancy, the overall effect is quite. Both have their own characteristics: the former can clearly show the gestational sac, and can wear direct injection of gestational sac; the latter can be done simultaneously embolization to prevent rupture of bleeding.