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Objective To explore the treatment of tubal pregnancy, the use of ultrasound guided methotrexate local injection effect. Methods A total of 80 patients with tubal pregnancy who were enrolled in our hospital from January 2015 to July 2016 were randomly divided into control group and observation group (n=40). The patients in the control group were given methotrexate by conventional muscle, and the observation group was injected with methotrexate under the guidance of B ultrasound. Observe and compare the treatment of two groups of patients. Results The recovery time of HCG in the observation group was (22.35±1.05) days, the mean value of the control group was (34.26±1.32) days, the recovery time of HCG in the observation group was significantly faster than that in the control group (P<0.05). Tubal patency rate was higher than the control group, the difference between the two groups was statistically significant (P<0.05).Conclusion B-ultrasound guided methotrexate local injection treatment of tubal pregnancy can rapidly improve the patient's local drug concentration, it can rapidly improve The local drug concentration of the patient can improve the clinical situation of the patient, and has better therapeutic effect, so it is worthy of clinical reference.
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Objective To explore the treatment of tubal pregnancy, the use of ultrasound guided methotrexate local injection effect. Methods A total of 80 patients with tubal pregnancy who were enrolled in our hospital from January 2015 to July 2016 were randomly divided into control group and observation group (n=40). The patients in the control group were given methotrexate by conventional muscle, and the observation group was injected with methotrexate under the guidance of B ultrasound. Observe and compare the treatment of two groups of patients. Results The recovery time of HCG in the observation group was (22.35±1.05) days, the mean value of the control group was (34.26±1.32) days, the recovery time of HCG in the observation group was significantly faster than that in the control group (P<0.05). Tubal patency rate was higher than the control group, the difference between the two groups was statistically significant (P<0.05).Conclusion B-ultrasound guided methotrexate local injection treatment of tubal pregnancy can rapidly improve the patient's local drug concentration, it can rapidly improve The local drug concentration of the patient can improve the clinical situation of the patient, and has better therapeutic effect, so it is worthy of clinical reference.
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Background and purpose:Since the number and tumor size of localized liver metastases can be controlled, local minimally invasive treatment can improve the survival of patients. Hence, microwave ablation has become an important treatment method for liver metastases. This study was to investigate the value of percutaneous microwave ablation in the treatment of tumor metastases. Methods: From Sep. 2011 to Oct. 2014, 26 advanced nasopharyngeal carcinoma patients with post-chemotherapy consolidation, liver metastases were collected. All the patients with the number of tumor lesions less than 3, diameter less than 5 cm, no other distant metastases was excluded. The ultrasound-guided percutaneous microwave ablation was used for 26 patients. Finally, 43 ablations were completed followed by liver function test, enhanced CT and MRI diagnosis 1 month later. mRECIST criteria was used to evaluate the effcacy of cancer treatment. Progression-free survival (PFS) and overall survival (OS) were calculated. Results:Twenty-six cases of a total of 53 lesions, including complete ablation (CA) 20 patients (20/26, 77.0%), partial ablation (PA) 3 patients (3/26,11.5%). The overall effciency was 88.5%(CA+PA) with no serious complications. 6 months, 1-, 2-year survival rates of 26 patients were 96.1%, 65.3%and 23.0%. PFS was 11.4 months. The median survival time (MST) was 11.9 months, while OS was 23.7 months. Conclusion:Percutaneous microwave ablation for limited liver metastases of nasopharyngeal carcinoma is a minimally invasive, safe and effective treatment method.
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Purpose To explore the application value of contrast agent in non-vascular channel. Material and Methods Totally 68 patients with drainage tube/stoma were collected in the pattern of real-time contrast enhanced ultrasound. Position, scope and moving of contrast agent in non-vascular channel were observed. Results It was accurately revealed enhanced areas in 68 cases of drainage tube and stoma, including 9 abnormal cases. CEUS implied 3 cases of failed drainage ifrstly, 5 cases of bleeding and 1 case gallbladder stone. It judged the degree and location in 25 PTBD cases and 22 PCN cases. The distance with renal hilum of one parapelvic cyst was measured accurately. Conclusion It is very important in diagnosis and treatment of interventional ultrasound to CEUS, therefore is worthy of wide application.
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Objective To summarize the clinical experience of ESWL under B ultrasound guidance in treatment of urinary stones.Methods The clinical data of 20 625 patients who underwent B ultrasound-guided ESWL between August 1995 and July 2011 were retrospectively analyzed.Of the stones,8659cases were in the kidney,11 712 cases were in the ureter,and 254 cases were in the bladder.And 1965stones were radioparent.Results The stone fragmentation rates of the kidney,ureter and bladder stones were 96.27％ ( 8336/8659),97.56％ ( 1 1 426/1 1 712) and 99.21％ ( 252/254),respectively.The total stone fragmentation rate was 97.04％ (20 014/20 625 ).The 3-month stone-free rates of the kidney,ureter and bladder stones were 86.63％ (7501/8659),95.32％ ( 11 164/11 712) and 97.24％ (247/254),respectively.The total 3-month stone-free rate was 91.69％ (18 912/20 625).The stone fragmentation rate of radioparent stones was 97.91％ ( 1924/1965 ),and the 3-month stone-free rate was 94.40％ ( 1855/1965).Conclusion B ultrasound-guided ESWL is safe and effective in the treatment of urinary stones.