甲氨喋啶联合米非司酮及中药治疗输卵管妊娠的疗效观察

Curative Effect of Methothexate and Mifepristone Associated with Chinese Medicine in Fallopian Pregnancy

近年来输卵管妊娠发病率居高不下,且多发生于年轻女性.随着检测手段的提高,其早期诊断率也明显提高.如何选择经济、简便、对患者损伤小的治疗方式成为临床医务工作者探讨的方向.通过我院对2002年1月～2005年1月的异位妊娠挑选60例采用甲氨喋啶、米非司酮及中药联合保守治疗.结果60例异位妊娠患者中,保守成功53例,成功率88.33%,血β—HCG降至正常需12±30d,盆腔包块消失需28～42d,月经恢复约需30～40d,月经后输卵管通液术发现全部通畅(除1例未复诊外),毒副反应不大.得出甲氨喋啶、米非司酮配伍中药治疗疗效肯定,值得推广的结论.

The incidence of fallopian pregnancy raised up recently mostly in young women. With the test facility increasing, the early diagnosis remarkably elevated. How to select a way with economic, convenient and minor harm to patients is the discussed direction to all clinic doctors. In this paper, 60 ectopic gestation patients were selected using expectant treatment of methothexate and mifepristone associated with Chinese medicine to cure in time of Jan. 2002 to Jan. 2005. In these patients, 53 examples were succeeded conservatively and the achievement ratio is 88.33%. 13 -HCG dropping to normal needs 12 ±30 days. The lump vanishing needs 28 -42 days. Menstruation recovering needs 30 -40 days. All hydrotubation after menstruation were unobstructed except one patient unreturned. The medicine had little adverse reaction. The results indicated that ethothexate and mifepristone associated with Chinese medicine to cure fallopian pregnancy had positive effect and deserve to generalization, l tab. ,7refs.