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目的:探讨甲氨蝶呤联合米非司酮及中药保守治疗异位妊娠的价值。方法:对2008-01/2008-12异位妊娠98例中60例采用保守治疗,治疗方案为:口服中药方剂1/2剂,2次/d,口服米非司酮50 mg,2次/d×5 d,单次肌内注射甲氨蝶呤,剂量按1 mg/kg或50 mg/m2计算,必要时可重复剂量肌内注射。结果:56例患者血β-HCG降至正常范围,成功率达93.3%,4例失败改腹腔镜手术。结论:甲氨蝶呤联合米非司酮及中药保守治疗异位妊娠疗效确切,免除手术治疗,易被患者接受及认可。
Objective: To investigate the value of methotrexate combined with mifepristone and traditional Chinese medicine conservative treatment of ectopic pregnancy. Methods: 60 cases of 98 cases of ectopic pregnancy from January 2008 to December 2008 were treated conservatively. The treatment regimen was: oral administration of traditional Chinese medicine 1/2 times, twice daily, oral mifepristone 50 mg twice daily, d × 5 d, a single intramuscular injection of methotrexate, the dose by 1 mg / kg or 50 mg / m2 calculation, if necessary, repeated doses intramuscular injection. Results: The blood β-HCG in 56 patients dropped to the normal range with a success rate of 93.3%. Four patients failed to undergo laparoscopic surgery. Conclusion: Methotrexate combined with mifepristone and traditional Chinese medicine conservative treatment of ectopic pregnancy curative effect is exact, free of surgical treatment, easily accepted and approved by patients.