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目的:探讨中西医结合保守治疗异位妊娠的疗效。方法:96例异位妊娠患者随机分为观察组和对照组各48例。对照组甲氨蝶呤(MTX)50 mg.m-2,深部肌注1次。观察组在对照组的基础上采用少腹逐瘀汤加减口服,并根据人绒毛膜促性腺激素(β-HCG)水平调整处方,1剂/d,常规水煎分2次服用,疗程4周。监测生命体征、血β-HCG水平及B超监测包块变化情况,并进行输卵管通畅实验。结果:观察组保守成功率(91.66%)优于对照组(72.92%)(P<0.05);观察组β-HCG复常时间、腹痛消失时间及子宫直肠陷凹积液吸收时间均明显短于对照组(P<0.05);治疗后观察组包块小于对照组(P<0.01);观察组输卵管通畅率(89.65%)优于对照组(70.37%)(P<0.05)。结论:中西医结合保守治疗异位妊娠能促进病灶包块吸收、促进输卵管通畅、保留生育功能,且安全性高,值得临床推广使用。
Objective: To explore the efficacy of traditional Chinese and Western medicine conservative treatment of ectopic pregnancy. Methods: 96 cases of ectopic pregnancy were randomly divided into observation group and control group of 48 cases. The control group methotrexate (MTX) 50 mg.m-2, intramuscular injection 1 times. The observation group was treated with Shaofuzhuyu Decoction orally on the basis of the control group, and the prescription was adjusted according to the level of human chorionic gonadotropin (β-HCG), 1 dose / d, conventional decoction 2 times, the course of treatment for 4 weeks . Vital signs, blood β-HCG levels and B-ultrasound monitoring of changes in the mass, and tubal patency test. Results: The conservative success rate (91.66%) in observation group was better than that in control group (72.92%) (P <0.05). The recovery time of β-HCG, disappearance of abdominal pain and absorption time of uterine rectocele in observation group were significantly shorter than those in control group (P <0.05). After treatment, the mass of the observation group was smaller than that of the control group (P <0.01). The tubal patency rate (89.65%) in the observation group was superior to that of the control group (70.37%) (P <0.05). Conclusion: The conservative treatment of traditional Chinese and Western medicine ectopic pregnancy can promote the mass absorption of the lesion, promoting tubal patency, retention of reproductive function, and high safety, it is worth promoting the use of the clinic.