关键词:阴道超声;输卵管妊娠;米非司酮
摘 要 目的:探讨阴道超声(TVS)对未破裂型输卵管妊娠保守治疗过程中监测的必要性。方法:对未破裂型输卵管妊娠患者分别于服药前及服药后连续动态观察异位妊娠组织及非均质包块的形成、发展与转归。结果:本文30例,未破裂型输卵管妊娠予米非司酮保守治疗6~8周内异位妊娠包块消失24例(80%);未破裂流产型4例(13.33%);无效2例(6.67%)其中服药600mg后无效一例,服药400mg后破裂一例。结论:TVS可对异位妊娠提早做出准确诊断,协助临床随时掌握病情变化,指导临床及时采取有效治疗措施有重要意义。
Transvaginal SonographyObservation of Unruptured Fallopian Tube
Pregnancy Treated by Mifepristone
Nu Huimin,Du Li
Chaoyang Women and Children Health Hospital Beijing 100026
ABSTRACT Objective and Methods:Dynamicobserving evolutions and outcomes of the Fallopian tube(FT)ectopic pregnancy embryo withtransvaginal sonography(TVS)before and after conservative treatment with mifepristone for30 cases.Results:24 embryo masses disappeared 6-8 weeks after 200mg/day administered forthree successive days,4 unruptured abortion induced,2 failed consisting one ineffective to600mg,the other resulting in tube rupture to 400mg.Conclusion:TVS is effective indetecting FT ectopic pregnancy and mifepristone is fairly useful for its conservativetreatmen t.
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