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目的:分析两种介入途径治疗输卵管妊娠的疗效。方法:收集74例输卵管妊娠病例,36例为经阴道输卵管插管孕囊内注射甲氨蝶呤(MTX),38例为经子宫动脉插管灌注MTX+栓塞。术后连续监测患者血β-HCG水平、孕囊的动态变化及月经恢复情况。结果:36例经阴道输卵管插管的治愈率86.11%,38例经子宫动脉插管灌注MTX+栓塞的治愈率为94.73%。结论:经子宫动脉途径介入治疗输卵管异位妊娠,治愈率更高,适应证更广泛。
Objective: To analyze the curative effect of two interventional ways in treating tubal pregnancy. Methods: 74 cases of tubal pregnancy were collected, 36 cases received transvaginal tubal intubation and intraperitoneal injection of methotrexate (MTX) and 38 cases were transcatheter arterial infusion of MTX + embolization. The level of serum β-HCG, the dynamic changes of gestational sac and the recovery of menstruation were continuously monitored after operation. Results: The cure rate of transvaginal tubal intubation in 36 cases was 86.11%. The cure rate of 38 cases embolized with uterine arterial cannulation was 94.73%. Conclusion: The uterine artery interventional treatment of tubal ectopic pregnancy, the cure rate is higher, a wider range of indications.