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目的探讨异位妊娠的保守治疗效果。方法回顾分析80例异位妊娠保守治疗患者的资料,随机分为甲氨蝶呤(MTX)(A组)和米非司酮联合MTX(B组)两组,观察两组治疗效果。结果 A组与B组治愈率分别为60.0%和82.5%,差异有统计学意义(P<0.05);血β-HCG降至正常时间分别为(36±10)d和(20±9)d,差异有统计学意义(P<0.01);异位妊娠包块消失天数及阴道流血天数比较,差异有统计学意义(P<0.01)。结论 2种治疗方案均应用简单,疗效确切,米非司酮联合MTX疗效优于MTX单药方案。
Objective To investigate the conservative treatment effect of ectopic pregnancy. Methods A retrospective analysis of 80 patients with conservative treatment of ectopic pregnancy data were randomly divided into methotrexate (MTX) (A group) and mifepristone combined with MTX (B group) two groups, the treatment effect was observed. Results The cure rates of group A and group B were 60.0% and 82.5%, respectively, with significant difference (P <0.05). The blood levels of β-HCG decreased to (36 ± 10) days and (20 ± 9) days , The difference was statistically significant (P <0.01); ectopic pregnancy mass days disappear days and vaginal bleeding days, the difference was statistically significant (P <0.01). Conclusions Both of the two treatment regimens are simple to apply and have a definite curative effect. The efficacy of mifepristone combined with MTX is superior to that of MTX alone.