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目的:探讨异位妊娠患者口服米非司酮的临床效果。方法:选择自愿要求保守治疗异位妊娠的患者,血HCG〈2000mIU/mL,附件包块≤4cm,盆腔积液少,自觉症状轻,共80人,其中住院观察治疗共26人,门诊观察治疗54,采用电话咨询或来院随访的方法。结果:治疗有效70人,转开腹手术6人,4人未能进行服药后的随访。结论:选择好适用症明确的异位妊娠患者,口服米非司酮疗效显著、患者反应轻、痛苦小、经济适用、易接受、安全方便,尤其适合基层医院使用。
Objective: To investigate the clinical effect of oral mifepristone in patients with ectopic pregnancy. Methods: Patients who voluntarily required conservative treatment of ectopic pregnancy had HCG <2000 mIU / mL, accessory mass ≤ 4 cm, less pelvic effusion, and less symptoms. There were altogether 80 patients, of whom 26 were hospitalized for observation and treatment 54, the use of telephone counseling or hospital follow-up method. Results: The effective treatment of 70 people, 6 cases turned to open surgery, 4 were unable to follow-up after taking medication. CONCLUSIONS: The patients with ectopic pregnancy who choose definite indications have obvious curative effect of oral mifepristone. The patients have mild reaction, little pain, affordable, easy to accept, safe and convenient, especially suitable for primary hospital.