Clinical study on the treatment of ectopic pregnancy by methotrexate and the particle of gelatin sponge with uterine artery embolization
10.3760/cma.j.issn.1008-1372.2014.02.022
- VernacularTitle:双侧子宫动脉甲氨蝶呤灌注联合明胶海绵颗粒栓塞治疗子宫异位妊娠的临床研究
- Author:
Xinhe SHI
;
Yungen WANG
- Publication Type:Journal Article
- Keywords:
Methotrexate/therapeutic use;
Methotrexate/administration & dosage;
Infusions,intra-arterial;
Embolization,therapeutic;
Uterus/blood supply;
Gelatin sponge,absorbable/therapeutic use;
Pregnancy,ectopic/drug therapy
- From:
Journal of Chinese Physician
2014;(2):221-223,226
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application value of methotrexate and the particle of gelatin sponge treat ec -topic Pregnancy .Methods A total of 48 cases of ectopic pregnancy was analyzed retrospectively .Methotrexate and gelatin sponge particles were injected into the uterine artery embolization for the method of intervention , and its clinical application value was evalua-ted.Results All 48 patients were embolized uterine artery successfully .It treated successfully ectopic pregnancy 44 cases (92%), including 38 cases of tubal pregnancy and other parts of the 6 cases.All patients were detected in β-human chorionic gonadotropin (β-HCG) until normal about 3 weeks.No serious postoperative complications were found , only 30 patients with abdominal pain, 16 cases of patients with nausea and vomiting , 9 patients with low-grade fever were found .After four months , 29 patients were recanalizated successfully .Conclusions Treatment of ectopic pregnancy can kill embryos efficiently , stanch the bleeding rapidly , and have small operation wound .It is safe and reliable method and is worth populating .