引用本文:李成博,孟英奇.B超下介入治疗并口服米非司酮治疗异位妊娠疗效观察[J].大连医科大学学报,2006,28(2):114-115.
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B超下介入治疗并口服米非司酮治疗异位妊娠疗效观察
李成博, 孟英奇
大连医科大学 第二临床学院 妇产科,辽宁 大连 116027
摘要:
[目的] 观察异位妊娠B超下注入甲氨喋呤(MTX)并且口服米非司酮,对异位妊娠的治疗效果。[方法]选择确诊适合行保守治疗的异位妊娠患者60例,A组20例全身用MTX杀胚治疗。B组20例单纯B超下介入治疗。C组20例介入治疗+口服米非司酮,治疗后监测β-HCG下降情况及自觉症状。[结果]A组10例成功,10例失败手术。B组14例成功,6例失败手术治疗。C组全部成功。[结论] 超声介入治疗异位妊娠是一种安全、简便、有效、微创的方法,同时口服米非司酮可提高治疗的成功率。
关键词:  异位妊娠  阴道穿刺介入治疗  MTX  米非司酮
DOI:10.11724/jdmu.2006.02.11
分类号:R714.22
基金项目:
Obserration of effects on interventional treatment for ectopic pregnancy guided by ultrosound and oral administration of mifeprtone
LI Cheng-bo, MENG Ying-qi
Department of Obstetrics and Gynecology, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027, China
Abstract:
[Objective] To observe the effects on interrentional treatment for ectopic pregnancy guided by ultro sound and oral administration of mifepristone. [Methods]Select 60 cases of ectopic preganacy which indicatedfor conservative treatment. A group 20 cases use MTX intramuscularly. B group 20 cases use interventional treatment under ultrosound singly. C group 20 cases use intervensional treatment under ultrosound and oral administration. Of mifepritone. [Results]A group 10 cases succeeded. 10 case failed to proceeding operation. B group 14 succeeded. 6 cases failed to proceeding operation. C groupall the cases are succeeded. [Conclusion] Intervensional treatment for ectopic pregnancy is a safe. Simple effective. Little lesion method. In the same time oral administration of mifepristone can increase its efficency.
Key words:  ectopic pregnancy  intervensional treatment  MTX  mifepristone