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异位妊娠保守治疗的方法及效果
http://www.100md.com 《中华现代临床医学杂志》 2006年第5期
甲氨蝶呤,,妊娠,异位;甲氨蝶呤;米非司酮;药物疗法,1资料与方法,2结果,3讨论,【参考文献】
     【摘要】 目的 探讨异位妊娠保守治疗的方法、效果及适应证。方法 回顾性分析2002年10月~2005年10月我院收治的异位妊娠保守治疗患者148例,按有保守治疗指征、无保守治疗指征但生命体征平稳无腹腔内活动性出血分为A、B两组,分别采用两种治疗方法,Ⅰ:MTX 1mg/kg单次肌注治疗,Ⅱ:MTX 1mg/kg单次肌注1次同时加米非司酮25mg(每天2次,连用3天)。结果 两种保守治疗方法成功率无明显差异(P>0.05);B组治疗成功率明显低于A组(P<0.05),但两组治疗失败后腹腔内出血、血红蛋白下降、所需输血量无差异(P>0.05)。结论 米非司酮未增加MTX治疗的成功率;对于生命体征平稳、无腹腔内活动性出血的异位妊娠患者可在严密监测下进行保守治疗。

    【关键词】 妊娠,异位;甲氨蝶呤;米非司酮;药物疗法

    The way and results of conservative treatment on ectopic pregnancy

    DONG Xiao-e,LU Yu-lian,ZHANG Feng-ge.Department of Obstetrics and Gynecology,Shunyi Maternity and Children Care Hospital,Beijing 101300,China

    【Abstract】 Objective To investigate conservative treatment results on ectopic pregnancy and indications.Methods Retrospective analysis of 148 ectopic pregnancy cases conservatively treated from October 2003 to October 2005.86 cases with conservative treatment indications(group A),62 cases with steady vital sign and without active intraabdominal bleeding(group B),adopted two treatment respectively:MTX 1mg/kg im.;MTX 1mg/kg im.plus mifepristone 150mg peroral.Results No successful difference between two treatments occured(P>0.05);There were different successful rate between two groups(P<0.05).In failure cases,there was no difference in itraabdominal bleeding、hemoglobin reducing、needing of blood transfusion(P>0.05).Conclusion RU486 dont increase successful rate of MTX.Ectopic pregnancy with steady vital sign and without active itraabdominal bleeding should be conservative treated under monitoring to increse pregnanct rate later. ......

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