【摘要】 目的　开辟简便、安全、疗效可靠、无损伤、痛苦小的药物介入治疗输卵管妊娠的新途径。方法　对 2 0例未破裂输卵管妊娠患者 ,在电视监视下 ,将 3F导管通过套管送入到患侧输卵管内 ,把溶于 10ml生理盐水中的 30mg氨甲喋呤 ,以每分钟 2～ 3ml速度注入 ,5min注射完。结果2 0例 1次插管治疗成功。血清绒毛膜促性腺激素术后第 5天开始下降 ,2 1～ 2 8d降至正常水平。妊娠囊块 2～ 2 5个月吸收 ,6例治疗后 3个月输卵管造影示通畅。结论　介入导管治疗未破裂输卵管妊娠有很好的临床应用价值更多还原

【Abstract】 Objective To search an approach to treat tubal pregnancy in a safe and ecnomic way Methods 20 cases of tubal pregnancy were studied Under fluoroscopic guidance, a 3F catheter was introduced to the site of tubal gestation through the uterine cavity, and methotrexate 30 mg in 10 ml saline was injected Results On the 5th day after operation,the level of serum hCG began to decline reaching the normal value on the 21st-28th day. The gastation sac was absorbed after 2-2 5 months In 6 cases the fallopian tube was recanalized after 3 months Conclusion Interventional therapy is a valuable and practical method for tubal pregnancy更多还原