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目的观察宫腔镜下输卵管插管注射MTX治疗输卵管妊娠的近远期疗效。方法选取2011年1月至2012年12月我院妇产科就诊的未破裂输卵管妊娠患者123例作为研究对象,按照随机数字表法随机分为治疗组60例与对照组63例,分别给予MTX 50mg宫腔镜下患侧输卵管注射治疗和MTX 50mg/m2单次肌内注射治疗。比较两组患者的近远期临床疗效。结果治疗组治愈率显著高于对照组(χ2=11.675,P<0.01),治愈时间显著少于对照组(χ2=8.024,P<0.01),治疗3个月后输卵管通畅率显著高于对照组(χ2=9.137,P<0.01),具有统计学意义。结论宫腔镜下输卵管插管注射MTX治疗输卵管妊娠近远期疗效均较佳。
Objective To observe the short-term and long-term effects of hysteroscopic tubal intubation with MTX for tubal pregnancy. Methods 123 cases of unruptured tubal pregnancy treated in obstetrics and gynecology department from January 2011 to December 2012 in our hospital were selected as the research object. According to the random number table method, 60 cases in the treatment group and 63 cases in the control group were randomly divided into MTX 50mg hysteroscopic ipsilateral tubal injection therapy and MTX 50mg / m2 single intramuscular injection therapy. Short-term clinical efficacy of two groups were compared. Results The cure rate of the treatment group was significantly higher than that of the control group (χ2 = 11.675, P <0.01), and the cure time was significantly less than that of the control group (χ2 = 8.024, P <0.01) (χ2 = 9.137, P <0.01), with statistical significance. Conclusion hysteroscopic tubal intubation MTX treatment of tubal pregnancy in the near and long-term efficacy are better.