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目的探讨基层医院对异位妊娠的临床诊断和治疗情况。方法回顾分析异位妊娠60例的阴道超声诊断与药物治疗情况。60例患者均采用甲氨蝶蛉肌肉单次注射50mg/m2治疗,连续治疗15d后,观察患者血β-HCG、包块大小和统计住院时间。结果 60例患者经阴道超声诊断,误诊4例,误诊率为6.67,误诊患者经血β-HCG检测后确诊,治疗后的血β-HCG和包块大小均小于治疗前,治疗前后比较差异具有统计学意义(P<0.05),60例患者的平均住院时间为(9.2±2.2)d;结论基层医院开展异位妊娠的阴道超声检查效果明显,甲氨蝶蛉治疗异位妊娠疗效确切,值得在基层医院中推广应用。
Objective To investigate the clinical diagnosis and treatment of ectopic pregnancy in primary hospitals. Methods Retrospective analysis of 60 cases of ectopic pregnancy vaginal ultrasound diagnosis and drug treatment. 60 patients were treated with a single injection of methotrexate muscle 50mg / m2, continuous treatment of 15d after the observation of patients with blood β-HCG, mass size and statistical hospital stay. Results Sixty patients were diagnosed by transvaginal ultrasonography and misdiagnosed as misdiagnosis, with a misdiagnosis rate of 6.67. The misdiagnosis rate was 6.67. The misdiagnosis rate was 6.67. The level of β-HCG and mass in the misdiagnosed patients was less than that before treatment. There was statistical difference before and after treatment (P <0.05). The average length of hospital stay of 60 patients was (9.2 ± 2.2) days. Conclusion The results of vaginal ultrasound examination in ectopic pregnancy in primary hospitals are obvious. Methotactyxetil is effective in ectopic pregnancy, Primary hospital promotion and application.