MTX治疗异位妊娠47例

47 Ectopic Pregnancies Treated with MTX

目的 评价氨甲喋呤（ Ｍ Ｔ Ｘ）治疗异位妊娠的临床意义。方法 肌肉注射 Ｍ Ｔ Ｘ ２０ｍ ｇ／ｄ，连续 ５ ｄ。腹腔镜下妊娠囊局部单次注射 Ｍ Ｔ Ｘ ２０ ｍ ｇ。结果 肌肉注射组 ２１ 例，成功 １９ 例（９０５％ ）。局部注药组 ２６ 例，成功２５ 例（９６２％ ）。结论 Ｍ Ｔ Ｘ 治疗异位妊娠具有简便，有效、快速、毒副作用小的优点。临床严格掌握保守治疗指征，是提高治愈率的关键。

Objective To assess the tratment value of Methotrexate (MTX) for ectopic pregnancy.Methods Patients in Group A were treated with 20 mg of MTX i.m.daily for 5 days,and in Group B with single dose of 20 mg of MTX injected into gestational sac under laproscopy.Results 19 cases out of 21 cases (90.5%) in Group A and 25 cases out of 26 cases (96.2%) in Group B were successfully treated.Conclusion MTX offers the advantages of simplicity, efficacy, rapidity and slight side effect.