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目的:研究腔内超声引导细针穿刺异位妊娠囊注射氨甲喋呤(MTX)治疗宫外孕的方法及临床效果。方法:比较案例分析法,资料来源于我院妇产科2009年4月至2011年4月收治的输卵管妊娠患者12例,根据不同治疗方法分为研究组和对照组各60例,分别采用超声引导下异位妊娠局部穿刺疗法和MTR-CF疗法,比较组别间疗效。结果:研究组所有患者妊娠囊均成功消失,一次治愈率达93.3%,显著高于对照组的75%,总治愈率100%,也显著高于对照组的75%(p<0.05)。结论:腔内超声引导细针穿刺异位妊娠囊注射氨甲喋呤(MTX)治疗宫外孕临床效果显著,安全性高,值得推广应用。
Objective: To study the method and clinical effect of intra-uterine ultrasound guided fine-needle aspiration of methotrexate (MTX) in the treatment of ectopic pregnancy. Methods: Comparative case analysis, data from our hospital obstetrics and gynecology April 2009 to April 2011 were treated 12 patients with tubal pregnancy, according to different treatment methods were divided into study group and control group of 60 patients were treated with ultrasound Guided ectopic pregnancy local puncture therapy and MTR-CF therapy, compared the efficacy of the two groups. Results: The gestational sac in all the patients in the study group disappeared successfully. The cure rate was 93.3% in one study group, significantly higher than 75% in the control group, with a total cure rate of 100% and significantly higher than 75% of the control group (p <0.05). Conclusion: Intra-echocardiography guided fine needle aspiration of methotrexate (MTX) in ectopic gestational sac for the treatment of ectopic pregnancy has significant clinical effect and high safety, which is worth popularizing and applying.