CAJ | 학술논문

目的探讨血管内介入治疗输卵管妊娠的疗效和安全性.方法 42例输卵管妊娠患者在数字减影血管造影(DSA)电视透视下行双侧子宫动脉插管、子宫动脉灌注氨甲蝶呤(MTX)和明胶海绵颗粒栓塞治疗.结果 40例患者治疗后血β-HCG值下降,妊娠包块吸收.2例栓塞后妊娠包块出血,急诊手术治疗,但出血量<400 ml.结论血管内介入治疗输卵管妊娠能够保留输卵管正常功能,对未生育的女性尤为适用.
목적 탐토혈관내개입치료수란관임신적료효화안전성.방법 42례수란관임신환자재수자감영혈관조영(DSA)전시투시하행쌍측자궁동맥삽관、자궁동맥관주안갑접령(MTX)화명효해면과립전새치료.결과 40례환자치료후혈β-HCG치하강,임신포괴흡수.2례전새후임신포괴출혈,급진수술치료,단출혈량<400 ml.결론 혈관내개입치료수란관임신능구보류수란관정상공능,대미생육적녀성우위괄용.
Objective To analyze the effect and safety of interventional therapy by trans uterine artery for treatment of tubal pregnancy. Methods Forty-two patients with tubal pregnancy were performed two side uterine arteries. MTX perfusion and embolization with gelfoam particles guided by DSA fluoroscopy. Results Forty patients obtained the decline of serum β-HCG value and 39 patients' ectopic mass absorption after treatment. Two patients occurred ectopic mass bleeding after interventional therapy and emergency surgical operation were done, but the amount of bleeding was low than 400ml. Conclusion Interventional therapy by trans uterine artery for treatment of tubal pregnancy could preserve the function of fallopian tubal, it was more benefit for patients who want normal pregnancy.