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目的:探讨异位妊娠的早期诊断及治疗效果。方法:选取本院2014年1月-2015年2月收治的异位妊娠患者144例,按随机数字表法分为对照组与观察组,上述患者均采用经阴道超声及腹部超声进行诊断,然后给予对照组患者甲氨蝶呤治疗,观察组采用甲氨蝶呤联合米非司酮治疗,两组治疗效果。结果:阴道超声检查在异位妊娠早期诊断中更具准确性,各指标检出率均高于经腹部超声检查,两组检查方式的结果对比,差异具有统计学意义(P<0.05);观察组患者治疗有效率为95.83%,高于对照组的81.94%;观察组不良反应发生率为11.11%,低于对照组的26.39%;且观察组患者治疗后血β-人绒毛膜促性腺激素(β-HCG)值恢复正常时间短于对照组,差异具有统计学意义(P<0.05)。结论:经阴道超声检查在异位妊娠早期诊断中的检出率更高,且给予患者甲氨蝶呤联合米非司酮的治疗效果显著。
Objective: To investigate the early diagnosis and treatment of ectopic pregnancy. Methods: A total of 144 patients with ectopic pregnancy admitted to our hospital from January 2014 to February 2015 were divided into control group and observation group according to random number table. The patients were diagnosed by transvaginal sonography and abdominal ultrasound. Methotrexate was given to patients in the control group, methotrexate combined with mifepristone in the observation group, and the two groups were treated. Results: Vaginal ultrasonography was more accurate in early diagnosis of ectopic pregnancy, and the detection rate of each index was higher than that of transabdominal ultrasonography. There was significant difference between the two groups (P <0.05) The effective rate of treatment group was 95.83%, which was higher than that of control group (81.94%). The incidence of adverse reactions in observation group was 11.11%, which was lower than that of control group (26.39%). In the observation group, the blood β-human chorionic gonadotropin (β-HCG) values returned to normal time was shorter than the control group, the difference was statistically significant (P <0.05). Conclusion: Transvaginal ultrasonography has a higher detection rate in the early diagnosis of ectopic pregnancy, and the treatment with methotrexate and mifepristone is significant.