甲氨蝶呤治疗非破裂型输卵管妊娠24例疗效分析

Factors for the failure of methotrexate in treating the unruptured tubal pregnance

目的:探讨甲氨蝶呤(MTX)治疗未破裂型输卵管妊娠的效果及失败的相关因素。方法:MTX 100mg静点,最多使用3次。结果:治疗24例,成功16例,成功率66.7%。结论:当血β-HCG>328.4mIU/mL、停经>52天、B超盆腔包块>5.2cm时,单用甲氨蝶呤治疗极有可能失败。

Objeetive： To evaluate the related factors for the failure treatment of unruptured tubal pregnance by methotrexate. Methods： 100mg methotrexate injectd intravenously,at most used 3 times.Results： The success rate of the group was 66.7%. Conduction： When the serum β-HCG〉 328.4mIU/mL,52 days after last menstrual period, ultrasound examination on pelvic masses 〉 5.2cm, the treatment with singledose metotrexate to tubal pregnancy may fail.