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已证实用氨甲喋呤(MTX)行宫外孕保守方法是有效的,为防止其副作用、缩短治疗时间现一般行甲酰四氢叶酸的急救疗法、MTX 大剂量静点及局部注入疗法等。本文汇总已发表的行 MTX 局部注入方法病例,并通过研究加以讨论。局部注入疗法的顺序是:①于腹腔镜或阴道超声下,通过体外受精-胚胎转移(IVF-ET)或配子输卵管内转移(GIFT)时使用的采卵针吸引胎囊内的羊水;②不拔出采卵针,缓慢注入10～15mg(2～3 ml 溶液)MTX;③为防止 MTX 溢漏羊膜外,采卵针暂时放置不动;④依据 MTX 给药量
Methotrexate (MTX) has been proven conservative ectopic pregnancy is effective, in order to prevent the side effects, shorten the treatment time is generally the first line of leucovorin emergency treatment, MTX high-dose intravenous injection and local injection therapy. This article summarizes published cases of MTX local injection methods and discusses them through research. The procedure of local injection therapy is as follows: (1) Amniotic fluid in the fetus is drawn through the ovum oophore in IVF-ET or GIFT during laparoscopic or vaginal ultrasound; Pull the oviparous needle and slowly inject 10 ~ 15mg (2 ~ 3ml solution) of MTX; ③To prevent the MTX overflow amniotic membrane,