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目的:探讨甲氨蝶呤配伍米非司酮联合治疗宫颈妊娠方法。方法:对2002年7月~2007年7月间在该院收治的9例宫颈妊娠病例进行回顾性分析。结果:初次就诊时B超检查明确诊断8例,1例未做B超检查,误诊为不全流产。采取药物联合保守手术治疗8例成功,1例治疗过程中发生大出血,行选择性子宫动脉栓塞术。结论:B超检查对宫颈妊娠的早期诊断有重要价值,药物联合保守手术治疗是较安全可靠的方法。
Objective: To explore the combination of methotrexate and mifepristone in the treatment of cervical pregnancy. Methods: Nine cases of cervical pregnancy admitted to our hospital from July 2002 to July 2007 were analyzed retrospectively. Results: The first visit to diagnose B-ultrasound in 8 cases, 1 case did not make B-ultrasound, misdiagnosed as incomplete abortion. Take the drug combined with conservative surgery in 8 cases of success, 1 case of bleeding occurred during the treatment, the line of selective uterine artery embolization. Conclusion: B-ultrasound has important value in the early diagnosis of cervical pregnancy. Combined with conservative surgery is a safe and reliable method.