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对米非司酮联合氨甲喋呤治疗异位妊娠过程中 63例中转手术患者的手术指征进行了回顾性分析。认为活动性出血、包块增大、胎心反射未消失为绝对指征 ,不应再盲目坚持保守治疗。 1反复发作的下腹痛 ,2治疗两周后血β- h CG下降不超过 1 5 %甚至升高 ,3经阴道彩色多普勒 (包括脉冲及能量多普勒 )发现滋养层血流无明显减少或血流信号增多,4包块无明显减小 ,为相对指征。具备 2项或 2项以上者宜手术治疗或在密切监测下行保守治疗 ,具备 1项者仍以保守治疗为主。
Retrospective analysis was performed on the surgical indications of 63 patients who underwent transcurrent operation with mifepristone and methotrexate in the treatment of ectopic pregnancy. That active bleeding, mass increases, fetal heart rate reflex did not disappear as an absolute indication, should not blindly adhere to conservative treatment. 1 repeated episodes of lower abdominal pain, 2 weeks after treatment of blood β-h CG decreased by not more than 15% or even increased 3 vaginal color Doppler (including pulse and energy Doppler) found no significant trophoblast blood flow Decreased or increased blood flow signals, no significant reduction in 4 mass, as a relative indication. With 2 or more than 2 should be treated surgically or in close monitoring of conservative treatment, with one is still based on conservative treatment.