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目的:探讨超声引导下局部注射甲氨蝶呤(MTX)治疗异位妊娠的疗效。方法:对30例异位妊娠患者在超声引导下行MTX病灶局部注射,术后给予米非司酮口服(25mg,2次/天,共3天)。治疗前及治疗后每周一次抽血查β-hCG直至其降至正常范围内。结果:30例患者中,29例(96.7%)通过治疗后β-hCG降至正常,1例(3.3%)治疗失败后行外科手术。结论:超声引导下MTX局部注射治疗异位妊娠技术操作简单,疗效肯定,对适应范围内的病人是值得考虑的治疗方法。
Objective: To investigate the efficacy of ultrasound-guided methotrexate (MTX) in the treatment of ectopic pregnancy. Methods: Thirty patients with ectopic pregnancy underwent ultrasound-guided local injection of MTX. Mifepristone was given orally (25 mg twice daily for 3 days) after operation. Before treatment and once a week after treatment, blood was drawn for beta-hCG until it fell within the normal range. RESULTS: Of the 30 patients, 29 (96.7%) had their β-hCG reduced to normal after treatment and 1 (3.3%) had surgery unsuccessfully. Conclusion: Ultrasound-guided local injection of MTX treatment of ectopic pregnancy is simple, effective treatment, the treatment of patients within the scope of adaptation is worth considering.