【摘要】 目的 探讨输卵管妊娠超声引导下局部注射甲氨蝶呤(MTX)疗法。方法 对输卵管妊娠患者在经阴道超声下注入甲氨蝶呤观察异位妊娠组织及非均质包块的形成、发展与转归。结果 22例未破裂型均获成功，成功率100%，8例破裂型1例失败。结论 阴道超声下孕囊内注射甲氨蝶呤治疗未破裂型输卵管妊娠方法简便，安全有效，患者无损伤，无痛苦，值得推广应用。

    【关键词】 阴道超声；甲氨蝶呤；输卵管妊娠

    Analysis of 30 cases with fallopian tube pregnancy treated through injecting MTX guided by transvaginal ultrasonography

    SHI Miao-li.

    Department of Ultrasonography，Zhongshan Torch Development District Hospital，Zhongshan 528437，China

    【Abstract】 Objective To discuss the treatment of fallopian tubal pregnancy through injecting MTX guided by transvaginal ultrasonography.Methods Dynanic observing the development and outcome of the tubal pregnancy by injecting MTX guided by tyansvaginal ultrasonography.Results 22 cases with unruptured fallopian tube pregnancy all cured ......