[1]顾伟瑾,王海云,万军,等.不同剂量MTX经动脉灌注治疗切口妊娠疗效的分析[J].介入放射学杂志,2010,(07):568.
　GU Weijin,WANG Haiyun,WAN Jun,et al.Intra－arterial infusion of MTX for the treatment of cesarean scar pregnancy：a comparative study between different doses[J].journal interventional radiology,2010,(07):568.
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不同剂量MTX经动脉灌注治疗切口妊娠疗效的分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年07期
页码:
568
栏目:
临床研究
出版日期:
2010-07-15

文章信息/Info

Title:
Intra－arterial infusion of MTX for the treatment of cesarean scar pregnancy：a comparative study between different doses
作者:
顾伟瑾; 王海云; 万军; 等
２０００４０上海市静安区中心医院介入科
Author(s):
GU Wei－jin; WANG Hai－yun; WAN Jun; ZHANG Lei; WANG Ying; WANG Wei; JI Fang; JI Li－hua．
Jing'an District Central Hospital，Shanghai２０００４０，China
关键词:
剖宫产后切口妊娠; 动脉灌注; 甲氨蝶呤
分类号:
R
文献标志码:
B
摘要:
目的探讨剖宫产后切口瘢痕妊娠经子宫动脉灌注MTX的有效剂量。方法孕周在５～９周的３６例切口瘢痕妊娠，经两侧子宫动脉灌注MTX，剂量从６０mg 起逐渐加至１００、１５０、２００mg ，每一剂量组均为９例，灌注后用明胶海绵阻塞两侧子宫动脉直至DSA下子宫动脉造影染色消失，３d至１周内行刮宫术。结果介入术后１周内血β－HCG和血孕酮的下降速度与MTX用量大小存在一定关系。６０、２００mg 间差异有统计学意义（P＜０．０５），１００、１５０mg 组间差异无统计学意义（P＜０．０５）。住院时间２００mg 组＜１００、１５０mg 组＜６０mg 组。结论切口妊娠经动脉灌注MTX的有效用量建议为２００mg ，介入术后可杀死胚胎，迅速降低血β－HCG和血孕酮，缩短住院日期。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２００９－１２－２８
更新日期/Last Update: 2010-07-15