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本文收集2002年1月至2005年1月用甲氨蝶呤(MTX)药物保守治疗异位妊娠患者51例,现对其中失败的19例,进行回顾性分析。 1 资料与方法 1．1 选择病例标准①生命体征平稳,腹部未查见移动性浊音或有可疑性移动浊音,无下腹痛或仅有轻微下腹痛。②肝、肾功能正常,无MTX用药禁忌症。③要求保守治疗或迫切要求保留生育功能。④血 HCG<15625IU／L,外周血WBC≥4．0×10 9／L,血小板100×10 9L。 1．2 一般资料2002年1月至2005年12月我院收治异位妊娠病人220人次,筛选符合上述条件的51 例为治疗对象。年龄19-38岁,51例均有停经史, 停经时间38-63天,有阴道出血者38例,占
This article collected from January 2002 to January 2005 with methotrexate (MTX) conservative treatment of ectopic pregnancy in 51 patients, and now failed in 19 cases were analyzed retrospectively. 1 Materials and Methods 1.1 Selection criteria ① stable vital signs, abdominal dullness was not found moving or suspicious mobile dullness, no lower abdominal pain or only mild abdominal pain. ② liver and kidney function is normal, no MTX drug contraindications. ③ require conservative treatment or urgently require the retention of reproductive function. ④ blood HCG <15625IU / L, peripheral blood WBC ≥ 4.0 × 10 9 / L, platelets 100 × 10 9L. 1.2 General Information January 2002 to December 2005 our hospital admitted 220 patients with ectopic pregnancy, screening of 51 patients with the above conditions for the treatment of objects. Age 19-38 years old, 51 patients had history of menopause, menopause time 38-63 days, 38 cases of vaginal bleeding, accounting for