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目的:探讨阴道超声引导局部氨甲喋呤(MTX)对输卵管妊娠的治疗效果。方法:2001年1月至2002年6月,选择早期未破的输卵管妊娠,在阴道超声引导下局部MTX治疗后,观察症状、体征,监测血HCG水平和B超检查。结果:12例患者中10例局部注射(非手术)治疗成功,2例失败。结论:在有穿刺及有手术条件的医院严密的观察下,对一些有指证的输卵管妊娠或盆腔内其他部位的异位妊娠患者,采用本方法治疗是一种安全、经济、有效的方法。
Objective: To investigate the therapeutic effect of vaginal ultrasound guided local methotrexate (MTX) on tubal pregnancy. Methods: From January 2001 to June 2002, we selected tubal pregnancy without rupture and observed the symptoms, signs, blood HCG levels and B-ultrasound after local MTX treatment guided by vaginal ultrasound. Results: Ten of the 12 patients were successfully treated by local injection (non-operation) and two failed. Conclusion: Under the strict observation of the hospital with puncture and surgical conditions, it is a safe, economical and effective method to treat some patients with tubal pregnancy or other patients with ectopic pregnancy in pelvic cavity.