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我院于1986年至1992年6月共收治宫外孕304例,其中采用“强化化瘀”方案治疗45例,效果满意,报道如下。 1 资料与方法本组45例均经B超扫描确诊为宫外孕,并行β-hCG放免测定或尿hCG酶标法定性测定辅助诊断,大多数病例经腹腔镜确诊。强化化瘀方案: (1)诊断明确后即经腹腔镜或后穹窿注入透明质酸酶1500～3000U,然后连续肌注3～7天。 (2)肌注或宫颈注射天花粉结晶蛋白注射液1.2mg,注射前常规皮试,并于注射前及后三天加用地塞米松5mg肌注,每日2次,防止副反应。
In our hospital from 1986 to June 1992, a total of 304 cases of ectopic pregnancy were treated, of which 45 cases were treated with the program of “fortification and blood stasis”, with satisfactory results and the report is as follows. 1 Materials and Methods The group of 45 patients were diagnosed by B-scan ectopic pregnancy, parallel β-hCG radioimmunoassay or urinary hCG enzyme-linked quantitative determination of auxiliary diagnosis, most cases confirmed by laparoscopy. Strengthen the blood stasis program: (1) clear diagnosis after laparoscopic or posterior fornix injection of hyaluronidase 1500 ~ 3000U, and then continuous intramuscular injection of 3 to 7 days. (2) intramuscular or TC injection of TCS injection of 1.2mg, conventional skin test before injection, and dexamethasone 5mg intramuscular injection before and 3 days after injection, 2 times a day to prevent side effects.