- 선택적 난관 조영술을 이용한 자궁외 임신의 치료
- ㆍ 저자명
- 조성범
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1993년|29권 3호|pp.492-496 (5 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
The diagnostic possibility and incidence of ectopic pregnancy are increasing due to several factor. Furthermore, radioimmunoassay of serum $eta$-HCG and US make it possible to diagnose early before the tubal rupture. A conventional surgical approach has been considered as a choice of treatments. Until recent years, however, srugery may have considerable risk of infertility and sugical hazard. In view of the natural tendency of some ectopic pregnancies to terminate in tubal abortion or complete resorption, we tried to cure ectopic pregnancy with nonsurgical transcervical intervention. Five of 8 patients with unruptured tubal pregnancies, it was possible to inject PGF2$alpha$ into the tubes or gestational sac, 4 of them were ended up with satisfactory reduction of serum $eta$-HCG level and improvement of symptoms & signs. In only one patient, $eta$-HCG level remained a high level continuously, so salpingectomy was done. As a result, we consider that fluoroscopy-guided transcervical interventional procedure is a useful treatment modality for early unruptured ectopic pregnancy.