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目的:探讨MTX(甲氨蝶呤)及输卵管手术两种方法治疗异位妊娠的效果。方法:选择2001年3月～2006年3月在北京积水潭医院住院治疗的80例异位妊娠患者。40例MTX治疗,40例单纯开腹输卵管手术治疗。结果:MTX治疗脏器无损伤,费用低(P<0.01),住院天数长,倾向于年轻妇女(P<0.01)。开腹输卵管手术治疗失败率低,住院天数短(P<0.01),但费用高。停经天数和妊娠次数两组无差异(P>0.05)。结论:MTX保守治疗适用于未育,经济困难,限费患者。输卵管手术治疗适用于无生育要求,要求迅速出院,有急诊开腹指征,同时合并其他妇科手术的患者。
Objective: To investigate MTX (methotrexate) and tubal surgery two methods of treatment of ectopic pregnancy effect. Methods: 80 patients with ectopic pregnancy hospitalized in Beijing Jishuitan Hospital from March 2001 to March 2006 were selected. 40 cases of MTX treatment, 40 cases of simple open surgery for tubal surgery. Results: MTX had no injury, low cost (P <0.01), long stay in hospital and tended to young women (P <0.01). Laparotomy failed with a low failure rate and shorter days of hospitalization (P <0.01), but at a higher cost. There was no difference between the days of menopause and the number of pregnancy (P> 0.05). Conclusion: MTX conservative treatment is suitable for infertile, economically disadvantaged and limited-fee patients. Tubal surgery for fertility-free requirements, requiring rapid discharge, emergency indications for open laparotomy, combined with other gynecological surgery patients.