Injection of MTX hysteroscopic tubal catheterization of 20 cases of tubal pregnancy.docVIP

 PAGE \* MERGEFORMAT 12 Injection of MTX hysteroscopic tubal catheterization of 20 cases of tubal pregnancy [Abstract] Objective To investigate hysteroscopic tubal catheterization injection of methotrexate (MTX clinical effectiveness. Methods diagnosed with tubal pregnancy, mass diameter ≤ 4 cm, serum β-HCG lt;2 000 IU (normal value lt;4 IU of cases, the line hysteroscopic catheter injection MTX 50 mg, dynamic observation of changes in serum β-HCG, regular review of color Doppler ultrasound to observe the mass changes. Results of the 20 patients, 18 cases of intubation success 2 cases of failed intubation, drug injection, diverted uterine injection. intubation in 18 cases, 14 cases were the first injection of MTX, the dynamic monitoring of blood β-HCG decreased to normal, and 1 re-l line of the second house of HCG laparoscopic tubal catheterization after injection of MTX to the normal monitoring of β-HCG, β-HCG 1 patient discharged re-liter, 2 cases were converted to surgery. Conclusion injection of hysteroscopic tubal catheterization MTX treatment of unruptured tubal pregnancy easy , effective and worthy to be popularized. [Keywords:] Hysteroscopy intubation; methotrexate, tubal pregnancy Tubal pregnancy ectopic pregnancy accounts for about 95%. In recent years, showed a gradual upward trend in the incidence [1]. Once the rupture of tubal pregnancy, patients are often internal bleeding, shock and other signs, even life-threatening. So how early diagnosis and treatment of tubal pregnancy, tubal function reserved more and more attention by clinicians. Since 2006 we observed 20 cases of treatment of unruptured tubal pregnancy by hysteroscopic catheter injection of MTX line of cases, with good results, are summarized below. 1 Materials and Methods 1  1 General information in our hospital from October 2006 to November 2008 were treated unruptured tubal pregnancy, 20 patients aged 19 to 36 years, mean (30  25 + -3  25 years of age, menopause time 3