输卵管妊娠患者的临床治疗体会

Clinical Treatment Experience of Patients With Tubal Pregnancy

目的：分析输卵管妊娠患者的临床治疗方法及疗效。方法选择2013年12月～2014年12月我院输卵管妊娠38例患者，根据不同治疗方法进行分组，即甲组与乙组。甲组19例治疗时使用甲氨蝶呤，乙组19例治疗时使用甲氨蝶呤和米非司酮。观察并对比两组疗效。结果与甲组相比，乙组治疗有效率较高，血 HCG 转阴、肿块消失所需时间较短，不良反应的发生率较低，差异显著（P〈0.05）。结论输卵管妊娠患者临床治疗时联合应用甲氨蝶呤和米非司酮，疗效显著。

Objective To analysis the clinical treatment and curative effect of the patients with tubal pregnancy. Methods Chose 38 cases of the patients with tubal pregnancy who are treated in our hospital from December 2013 to December 2014,separated them into Group A and Group B according to different treatment approaches,19 cases of these in Group A were given methotrexate medication treatment,while other 19 cases in Group B were given methotrexate combined with mifepristone medication treatment,and then compared the treatment effects between two groups. Results Compared to Group A,patients’treatment efficacy in Group B was much higher,and time for serum HCG changing into be negative and tumor disappeared was less,and side-effect incidence was fewer,and there was such a differential statistic value（P〈0.05）. Conclusion The treatment of tubal pregnancy with methotrexate and mifepristone medication is quite worthwhile for the clinical efficacy.