氨甲喋呤治疗输卵管妊娠72例临床分析  

Clinical Analysis of Treating Tubal Pregnancy with Methotrexeate in 72 Patients

作　　者：周玲[1] 杨云彷[2] 

机构地区：[1]上海市第八人民医院妇产科 [2]第二军医大学附属长征医院妇产科

出　　处：《齐齐哈尔医学院学报》2001年第11期1235-1236,共2页Journal of Qiqihar Medical University

摘　　要：目的　探讨用小剂量氨甲喋呤 (MTX)多次肌肉注射治疗输卵管妊娠的方法和疗效。方法　回顾分析 6年来我们对 72例输卵管妊娠患者采用小剂量MTX多次肌肉注射的治疗情况。结果　成功 5 6例 ,成功率 77.78% ,16例失败 ,失败率 2 2 .2 2 %。成功与失败的关键取决于停经天数 ,治疗前血 β-HCG水平和包块直径的大小 ,而与年龄、孕次、产次无显著关系。Objective To probe the method and curative effect of treating tubal pregnancy with small dose MTX multi-intramuscular injection.Methods With small dose MTX injection, 72 cases of tubal pregnancy were analysed retrospectively. Results Success received in 56 cases, the success rate is 78%. Failure in 16 cases, the rate of failure is 22.22%.The key of success is according to intermenstrual period, the level of β-HCG in serum and the radium of the mass, but has no relation with ages, pregnancy time and parity.Conclusions With small dose MTX multi-intramuscular injection, the curative effect is certain.

关 键 词：输卵管妊娠 肌肉注射治疗 氨甲喋呤 MTX 小剂量 疗效 包块 结论 水平 大小 

分 类 号：R714[医药卫生—妇产科学] R735.7[医药卫生—临床医学]