[摘要] 目的:探讨应用药物甲氨蝶呤(MTX)保守治疗重复异位妊娠的临床效果。方法:对58例非破裂重复异位妊娠均采用MTX静脉化疗,其中9例加用米非司酮治疗。结果:58例重复异位妊娠保守治疗全部成功,其中,39例1个疗程MTX化疗血β-HCG下降至正常,4例2个疗程MTX化疗痊愈,7例第2个疗程联合米非司酮治疗成功。结论:采用MTX静脉化疗或联合米非司酮治疗重复异位妊娠是简单易行的方法,值得在临床应用,但应注意适应证。

    [关键词] 重复;异位妊娠;保守治疗

    [中图分类号] R714.22 [文献标识码]B[文章编号]1673-7210(2009)07(b)-159-02

    Repeat ectopic pregnancy clinical analysis of conservative treatment

    WANG Hong, WEI Daiying

    (Department of Gynecological of Humen Chinese Medicine Hospital,Dongguan City,Dongguan523900, China)

    [Abstract] Objective: To explore the application of the drug methotrexate (MTX) conservative treatment the clinical effects of repeated ectopic pregnancy. Methods: 58 cases of repeated non-ruptured ectopic pregnancy were intravenous MTX chemotherapy, nine cases of plus mifepristone treatment. Results: 58 cases of repeated ectopic pregnancy conservative treatment was successful in all, including 39 cases of a course of chemotherapy MTX blood β-HCG dropped to normal, 4 cases of carbuncle of the two MTX treatment were recovered and seven cases of the first two courses United mifepristone treatment success. Conclusion: The use of intravenous MTX chemotherapy or United mifepristone treatment of recurrent ectopic pregnancy is a simple and easy method, it is worth in the clinical application, but attention should be payed to the indications. ......