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目的评价阴道彩超局部介入治疗对宫颈妊娠的疗效,探索简便、安全、疗效可靠的治疗方法。方法通过阴道彩超(TV-CDU)进行术前诊断及在TV-CDU的引导下行局部甲氨喋呤注药,对13例宫颈妊娠的术前后变化进行分析。结果TV-CDU对宫颈妊娠的术前诊断准确率高,介入治疗有效率为93.3%,随访均无明显并发症发生。结论TV-CDU为临床及时处理和早期保守治疗提供可靠的诊断依据,TV-CDU介导宫颈妊娠的局部保守治疗具有较好的治愈率、较低的并发症,值得进一步推广。
Objective To evaluate the curative effect of vaginal ultrasonography on cervical pregnancy and to explore a simple, safe and reliable therapeutic method. Methods The preoperative and postoperative changes of 13 cases of cervical pregnancy were analyzed by preoperative diagnosis of vaginal ultrasound (TV-CDU) and local injection of methotrexate under the guidance of TV-CDU. Results The accuracy of preoperative diagnosis of TV-CDU for cervical pregnancy was high. The effective rate of interventional therapy was 93.3%. There was no obvious complication after follow-up. Conclusion TV-CDU provides a reliable basis for clinical treatment and early conservative treatment. TV-CDU locally conservative treatment of cervical pregnancy has a good cure rate, low complication and worth further promotion.