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目的:分析宫外孕保守治疗中的常见问题,提出几点宫外孕保守治疗的临床建议。方法:自2008.1---2010.12之间我院收治的宫外孕进行保守治疗的患者60例,均给予甲氨蝶呤(MTX)1mg/kg单次肌肉注射,米非司酮50mg,每日2次口服,并配合中药消包块治疗。结果:60例患者中,51例保守治疗成功,9例保守治疗失败改为手术治疗。结论:宫外孕保守治疗成功的关键在于,掌握好保守治疗的适应症,动态检测血B-HCG及B超,密切关注患者的治疗过程,及时发现治疗中的问题,确保患者的治疗安全,把治疗风险降到最低。
Objective: To analyze the common problems in conservative treatment of ectopic pregnancy, and to put forward some clinical recommendations on the conservative treatment of ectopic pregnancy. Methods: Sixty patients with conservative treatment of ectopic pregnancy treated in our hospital from January 2008 to December 2010 were given a single intramuscular injection of methotrexate (MTX) 1 mg / kg, mifepristone 50 mg twice daily Oral, and with Chinese medicine package treatment. Results: Of the 60 patients, 51 were conservatively treated and 9 were conservatively treated for failure. Conclusions: The key to the successful conservative treatment of ectopic pregnancy is to master the indications of conservative treatment, to dynamically detect the blood B-HCG and B-ultrasound, to pay close attention to the patients’ course of treatment, to find out the problems during the treatment, to ensure the patient’s safety and to treat Risk to a minimum.