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目的:比较宫腔镜下输卵管插管注射MTX与腹腔镜下联合MTX保守治疗异位妊娠的临床疗效。方法:对2007年1月～2009年1月间符合药物保守治疗的120例早期异位妊娠患者,分为宫腔镜下输卵管插管注射MTX组(A组)与腹腔镜下联合MTX治疗组(B组),分别比较两组患者血β-HCG,孕酮值恢复情况,住院天数,住院费用,治愈率。结果:B组在血β-HCG,孕酮值恢复情况,住院天数明显优于A组,差异有统计学意义(P<0.05或P<0.01),但住院费用却明显高与A组,差异有统计学意义(P<0.01)。两组疗效差异无统计学意义(P>0.05)。结论:腹腔镜下联合MTX保守治疗异位妊娠与宫腔镜下输卵管插管注射MTX,均为保守治疗异位妊娠的良好方法,各有特点,均有良好的临床应用价值。
Objective: To compare the clinical efficacy of hysteroscopic tubal intubation with MTX and laparoscopic combined with MTX in conservative treatment of ectopic pregnancy. Methods: From January 2007 to January 2009, 120 cases of early ectopic pregnancy who met conservative medical treatment were divided into hysteroscopic tubal intubation with MTX injection (group A) and laparoscopic combined with MTX treatment (Group B). The levels of serum β-HCG, progesterone recovery, hospitalization days, hospitalization costs and cure rates were compared between the two groups. Results: The recovery of blood β-HCG and progesterone in group B was significantly better than that in group A, and the difference was statistically significant (P <0.05 or P <0.01), but the hospitalization cost was significantly higher than that of group A There was statistical significance (P <0.01). There was no significant difference between the two groups (P> 0.05). Conclusions: Laparoscopic combined MTX conservative treatment of ectopic pregnancy and hysteroscopic tubal intubation MTX injection are conservative treatment of ectopic pregnancy a good method, each with its own characteristics, have good clinical value.