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目的:比较几种保守治疗异位妊娠方案的临床疗效。方法:根据治疗方案的不同将120例异位妊娠患者分为甲氨蝶呤(MTX)肌内注射组39例、米非司酮(RU486)治疗组37例、MTX与RU486联用组44例,比较各组的治疗效果。结果:甲氨蝶呤组31例治愈(79.49%),米非司酮组26例治愈(78.38%),两组差异无统计学意义。联用组44例治愈(90.91%),与甲氨蝶呤组及米非司酮组比较,差异有统计学意义(P<0.05)。结论:3种保守治疗方法均有效,甲氨蝶呤与米非司酮联合用药的治愈率高于单一用药。
Objective: To compare the clinical efficacy of several conservative treatment ectopic pregnancy programs. Methods: According to the treatment plan, 120 cases of ectopic pregnancy were divided into methotrexate (MTX) intramuscular injection group 39 cases, mifepristone (RU486) treatment group 37 cases, MTX and RU486 combined group of 44 cases , Compare the treatment effect of each group. Results: Methotrexate group cured 31 cases (79.49%), mifepristone group cured 26 cases (78.38%), no significant difference between the two groups. 44 cases were cured (90.91%), compared with methotrexate group and mifepristone group, the difference was statistically significant (P <0.05). CONCLUSION: Three kinds of conservative treatment are effective. The cure rate of combination of methotrexate and mifepristone is higher than that of single medication.