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目的对用MTX治疗异位妊娠和用腹腔镜输卵管保守手术术前口服米非司酮治疗异位妊娠的临床疗效进行分析。方法将120例患者随机分为2组,各60例。Ⅰ组给予MTX肌注,Ⅱ组腹腔镜输卵管保守手术术前口服米非司酮。结果Ⅰ组治愈49例,成功率82%,输卵管造影术输卵管通畅30例,成功率61%,重复性异位妊娠8例。Ⅱ组治愈60例,成功率100%,输卵管造影输卵管通畅47例,成功率78%,重复性异位妊娠5例。结论2组治疗途径各有利弊,临床医生可根据患者的愿望及患者的具体情况选择治疗途径。
Objective To analyze the clinical efficacy of MTX in the treatment of ectopic pregnancy and conservative treatment with laparoscopic tubal surgery before oral administration of mifepristone. Methods 120 patients were randomly divided into two groups, each 60 cases. Group Ⅰ was given MTX intramuscular injection, Group Ⅱ laparoscopic tubal conservative surgery before oral administration of mifepristone. Results In group Ⅰ, 49 cases were cured, the success rate was 82%, tubal tubal patency in 30 cases, the success rate of 61%, 8 cases of repetitive ectopic pregnancy. Group Ⅱ 60 cases were cured, the success rate of 100%, tubal tubal patency in 47 cases, the success rate of 78%, 5 cases of repetitive ectopic pregnancy. Conclusion The two groups have their own advantages and disadvantages, and clinicians can choose the treatment according to the patients’ wishes and the specific conditions of the patients.