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《Journal of Bengbu Medical College》 2010-03
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Treatment of tubal pregnancy by intervening in the arteria uterine:a report of 27 cases

JIN Tao,JIANG Mou-ying,XU Wan-li,WANG Jin-lin(Department of Radiology,The First People′s Hospital,Anqing Anhui 246003,China)  
Objective:To explore the clinical effect of selective arteria uterine cannula chemotherapy embolism on tubal pregnancy.Methods:Twenty-seven cases of tubal pregnancy were performed arteria uterine visualization with advanced Seldinger technique.The affected arteria uterine was injected methotrexate(one case was injected Fluorouracil) through a catheter and filled with gel foam embolism.The clinical symptoms and signs,serum human chorionic gonadotropin,pelvic hemataocele changes and absorption of pelvic hydrops were observed after the surgery.Results:The arteria uterine cannula was successful in all the 27 cases.Twenty-six of them were cured and 1 failed.The cure rate was 96.3%.No complication occurred.Four patients had healthy babies 3-10 months after the surgery.Conclusions:The new method has the advantages of small wounds and a higher cure rate,which may effectively prevent intraperitonea bleeding,keep the integrity of the arteria uterine and thus retains the fertility.
【CateGory Index】: R714.22
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