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目的对比甲氨喋呤、米非司酮+甲氨喋呤+中药治疗非破裂型输卵管妊娠的临床效果。方法对2011.2-2012.2在我院收治的90例非破裂型输卵管妊娠的保守治疗。按用药方法分A组45例(甲氨喋呤治疗),B组45例(米非可酮+甲氨喋呤+中药),观察疗效。结果非破裂型输卵管妊娠的保守治疗中,A组成功率88.5%,B组成功率92.1%,B组血β-HCG恢复正常时间、住院时间明显少于A组(P<0.05),输卵管复通率B组明显高于A组(P<0.05)。结论米非司酮+甲氨喋呤+中药具有疗程短、费用少、输卵管复通率高的优点,有较高的临床应用优势。
Objective To compare the clinical effects of methotrexate, mifepristone + methotrexate + Chinese medicine in the treatment of non-ruptured tubal pregnancy. Methods Conservative treatment of 90 cases of non-ruptured tubal pregnancy admitted to our hospital from January 2011 to 2012.2. Divided by group A 45 cases (methotrexate treatment), B group 45 cases (mifejone + methotrexate + Chinese medicine), to observe the effect. Results In the conservative treatment of non-ruptured tubal pregnancy, the success rate of A group was 88.5%, the success rate of B group was 92.1%, the recovery time of β-HCG in group B was significantly shorter than that in group A (P <0.05) B group was significantly higher than A group (P <0.05). Conclusion mifepristone + methotrexate + traditional Chinese medicine has the advantages of short course of treatment, low cost, high rate of fallopian tube complex, has a high clinical application advantages.