三种方法保守治疗异位妊娠疗效分析  

Three methods of conservative treatment for ectopic pregnancy clinical analysis

作　　者：魏璐华[1] 黎莉[1] 戴峻[1] 吴春秀[1] 

机构地区：[1]遵义医学院第五附属(珠海)医院妇产科,广东珠海519100

出　　处：《吉林医学》2013年第27期5549-5550,共2页Jilin Medical Journal

摘　　要：目的:探讨三种方法在保守治疗异位妊娠患者的疗效。方法:回顾性分析150例异位妊娠保守治疗患者临床资料,分为A组、B组、C组,A组单用甲氨蝶呤(MTX),B组在A组治疗上加用米非司酮,C组在B组治疗上加用中药对比其疗效。结果:三组成功率差异无统计学意义(χ2=0.049,0.457,0.208,P>0.05),但在血β-HCG的转阴时间及盆腔包块消失的时间上C组与A组、B组差异有统计学意义(F=108.126,85.384,P<0.05),药物不良反应率三组差异无统计学意义(χ2=0.047,0.407,0.208,P>0.05)。结论:MTX联合米非司酮治疗异位妊娠后加用中药治疗,疗效确切,尤其在盆腔包块的消失时间方面效果显著。Objective To explore the efficacy of three methods in the conservative treatment of ectopic pregnancy patients.Methods A retrospective analysis of the clinical data of 150 cases of conservative treatment of ectopic pregnancy, divided into A group,B group,C group,A group with methotrexate（MTX） in A group,B group treated with mifepristone,C group in the B group treated with traditional Chinese medicine and contrast their curative effects.Results The success rate of three groups had no significant difference（ X 2=0.049,0.457,0.208,P 〉 0.05）,but significant negative time in group C blood 13 -HCG and time pelvic mass disappeared with A group,B group（F=108.126,85.384,P 〈 0.05）,adverse drug reaction the rate of the three groups had no significant difference（ X 2=0.047,0.407,0.208,P 〉 0.05）.Conclusion MTX combined with mifepristone in treatment of ectopic pregnancy after treatment with traditional Chinese medicine,curative effect is exact,particularly the effect of pelvic mass disappearing time significantly.

关 键 词：异位妊娠 中西医结合 保守治疗 

分 类 号：R714.22[医药卫生—妇产科学]