经子宫输卵管插管治疗输卵管妊娠

目的：探讨经子宫输卵管插管治疗输卵管妊娠的方法，疗效及临床应用价值。方法：13例临床未破裂期输卵管妊娠病例，在数字减影血管造影（DSA）监视下做患侧输卵管插管造影，明确诊断后送导丝刺破孕囊壁，向孕囊或输管管内注入氨甲喋呤（MTX）。结果：13例经插管造影均诊断为输卵管妊娠并一次插管治疗成功。血清绒毛膜促性腺激素（HCG）术后7d开始下降，2－4周内降至正常，孕囊术后2周开始缩小，4周内消失，治疗成功率为100％。结论：选择性输卵管造影及经输卵管刺破孕囊，灌注药物是诊断及治疗未破裂输卵管妊娠简便、安全和有效的方法。

Intra-gestational sac injection for tubal pregnancy:an interventional approach

Objective It's an investigation of the procedure, effects and clinical application of the interventional intra-gestational sac injection as a treatment of tubal pregnancy. Methods Under DSA guidance a selective salpingography was performed and MTX was injected into the gestational sac or oviduct. The procedure was performed in 13 cases with oviductal pregnancy before the gestational sac ruptured. Results Technical success was obtained in all cases. The serum HCG began to fall in 7 days after the procedure, and dropped to normal level in 2-4 weeks of the intervention. The gestational sacs began to shrink in 2 weeks of procedure and were undetectable in 4 weeks of the procedure. Conclusion Interventional selective salpingography and intra-gestational sac injection is a simple, safe and effective treatment of the un-ruptured tubal pregnancy.