异位妊娠保守治疗的临床观察  

Clinic observation of conservative treatment in ectopic pregnancy

作　　者：曹园华[1] 许秋琰[1] 贺顺满[1] 

机构地区：[1]湖南省衡阳市妇幼保健院,421001

出　　处：《中国妇幼保健》2006年第12期1704-1705,共2页Maternal and Child Health Care of China

摘　　要：目的:探索简单、有效、成功率高又不影响生育功能的异位妊娠的保守治疗办法。方法:84例患者随机分成3组分别采用氨甲喋呤(MTX)单次注射法(A组),米非司酮联合中药法(B组)和MTX单次注射配合米非司酮联合治疗法(C组)进行疗效比较。结果:A、B、C 3组治疗的有效率分别为64.3%、57.1%、92.8%,C组疗效明显(P<0.05)。C组治疗后血β-HCG恢复至正常时间平均为15.5 d,平均住院天数为15.6 d,均明显优于A、B组(P<0.05)。结论:MTX单次注射配合米非司酮治疗异位妊娠是一种治愈率高、安全可靠的治疗方法。Objective： To seek a simpler, more effective and highly successful conservative therapy which doesn＇t affect the patients reproductive function in ectopic pregnancy. Methods： 84 cases were divided at random into group A, B and C. Group A was treated with single methorexate （MTX） injection, group B with mifepristone and Chinese medicine, group C with single MTX injection and mifepristone. The therapeutic effect was compared among these three groups. Results： The efficiencies were 64. 3%, 57. 1% and 92. 8% respectively for Group A, B, and C, having a significant therapeutic effect in group C （P 〈 0. 05）. The average time of blood β-HCG restored to the normal level （ 15.5 days）, average duration days in hospital （ 15.6 days） in group C were better than those in group A and B （P 〈0. 05）. Conclusion ： Single MTX injection together with mifepristone in treating ectopic pregnancy is a simpler, more effective therapy and safe therapy.

关 键 词：异位妊娠 保守治疗 安甲喋呤 米非司酮 

分 类 号：R714.2[医药卫生—妇产科学]