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目的探讨异位妊娠非手术治疗的临床效果。方法选取70例异位妊娠患者,根据不同治疗方法分为两组,A组42例肌注氨甲蝶呤,0.4 mg/(kg·d),5 d,米非司酮25 mg口服,2次/d,连服3 d,联合中药。B组28例采用氨甲蝶呤0.4 mg/(kg·d)肌注,5 d,联合米非司酮25 mg,口服,2次/d,连服3 d。比较两组治疗效果。结果 A组治愈38例(成功率90.4%)。对照组治愈19例(成功率67.9%).两组差异有统计学意义(P<0.05)。结论氨甲蝶呤肌注联合米非司酮和中药口服治疗异位妊娠,安全可靠,临床症状和体征消失快,成功率高。
Objective To investigate the clinical effect of non-surgical treatment of ectopic pregnancy. Methods Seventy patients with ectopic pregnancy were divided into two groups according to different treatment methods. A group received 42 patients with methotrexate intramuscularly at a dose of 0.4 mg / (kg · d) for 5 days and mifepristone 25 mg orally Times / d, and even served 3 d, combined with traditional Chinese medicine. In group B, 28 patients were treated with methotrexate 0.4 mg / (kg · d) intramuscularly for 5 days, and mifepristone 25 mg orally for 2 times daily for 3 days. Compare the treatment effect of two groups. Results A group of 38 cases cured (success rate 90.4%). The control group was cured in 19 cases (success rate 67.9%), the difference was statistically significant (P <0.05). Conclusion Combination of methotrexate and mifepristone and Chinese herbal medicine for oral treatment of ectopic pregnancy is safe, reliable, clinical symptoms and signs disappear rapidly with high success rate.