【摘要 】 目的 探索用选择性输卵管造影方法诊断并介入治疗输卵管妊娠。方法 选临床拟诊宫外孕而无腹腔内出血的妇女13例，用选择性输卵管造影方法明确为输卵管妊娠后，则向输卵管内注入氨甲喋呤(MTX)，以后随访尿、血绒毛膜促性腺激素(hCG)和B超监测附件包块情况。结果 诊断输卵管妊娠12例，宫内妊娠1例。X线表现为输卵管腔局限性膨大，腔内见半环状、环状或不规则充盈缺损11例，1例输卵管腔显影正常，但在输卵管伞端见对比剂呈葡萄串状集聚。12例经输卵管内注射MTX治疗，10例获得成功。结论 选择性输卵管造影诊断并介入治疗输卵管妊娠是简便、准确、安全、有效和可行的方法。

The diagnosis and treatment of tubal pregnancy with selective salpingography

LI Qunying.

    Department of Radiology, OBS/GYN Hospital of Shanghai Medical University, Shanghai 200011,China

【 Abstract 】 Objective To study feasibility ofdiagnosing and treating tubal pregnancy with selective salpingography. Methods 13 women diagnosed clinically asectopic pregnancy without abdominal bleeding were studied and confirmed as tubal pregnancywith selective salpingography, MTX was then injected through fallopian tube.Urine hCG,blood β -hCG and USwere studied during follow-up. Results 12 cases tubal pregnancy were confirmed as well as 1 case ofintra-uterine pregnancy. X-ray showed a localized dilation of fallopian tube , half-loop,ring- like or irregular shaped filling defect. In one case, cluster of grapes appearanceof contrast medium could be seen at the frimbriate end of fallopian tube. Of the 12 casesof tubal pregnancy, 10 were successfully treated, the successful rate was 83%. Conclusion Selective salpingography is asimple 、 safe andeffective method of diagnosing and treating tubal pregnancy.

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