【中图分类号】R714.22【文献标识码】A【文章编号】1005-2720(2010)09 - 14 - 02

    【摘要】目的 利用宫腔镜插管对输卵管妊娠保守治疗,探讨其临床价值。方法 2006～2008年24例宫外孕患者行患侧输卵管插管注入MTX 20～40mg,成功杀死胚胎。结果 方法简便可行,费用少,值得推广。结论 采用宫腔镜输卵管妊娠插管保守治疗成功率高,消除了手术的痛苦,保存了完整输卵管,减少并发症。

    【关键词】宫外孕;宫腔镜;MTX

    【Abstract】Objective To observe the clinical therapeutic value of hysteroscopic catheterization in the treatment of tubal pregnancy. Methods 24 patients of ectopic pregnancy enrolled during 2006 to 2008 were treated by MTX 20-40mg injection under ipsilateral hysteroscopic tubal catheterization.Results All embryos were successfully killed. This method is simple and feasible,cost less and worth promoting. Conclusion Hysteroscopic tubal catheterization treatment of tubal pregnancy has many advantages like high efficiency,eliminating the pain of surgery,preservation of the integrity of the fallopian tubes,reduce complications.

    【Key words】Ectopic pregnancy; Hysteroscopy; MTX

    近年来,异位妊娠在妇产科常见病发生率占妊娠总数的2%,并有逐渐上升的趋势 ......