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甲氨蝶呤不同途径给药治疗输卵管妊娠的疗效分析

杨秀丽 曹玉平 刘志辉 陈苑红 汪盛参 黄海洲 李嫦

国际医药卫生导报2013,Vol.19Issue(21):3278-3280,3.
国际医药卫生导报2013,Vol.19Issue(21):3278-3280,3.DOI:10.3760/cma.j.issn.1007-1245.2013.21.011

甲氨蝶呤不同途径给药治疗输卵管妊娠的疗效分析

Analysis of clinical efficacy of different routes of methotrexate administration in salpingocyesis

杨秀丽 1曹玉平 1刘志辉 1陈苑红 1汪盛参 1黄海洲 1李嫦1

作者信息

  • 1. 523560 东莞市常平医院妇产科
  • 折叠

摘要

Abstract

Objective To discuss clinical efficacy of different routes of methotrexate administration in salpingocyesis.Methods 150 cases of salpingocyesis were randomly divided into three groups,50 cases in each group.Group A received mifepristone + traditional Chinese medicine; group B received MTX intramuscular injection + mifepristone + traditional Chinese medicine; group C received MTX pelvic injection via posterior fomix + mifepristone + traditional Chinese medicine.Vital signs of patients were observed during the treatment.Blood β-HCG was measured 4,7,10 days after treatment.The size of mass was measured by B-mode ultrasound 1 week after treatment.The clearance time of β-HCG and hospital stays were recorded.Results 45 patients were cured successfully in group C,with the cure rate of 90.0%,obviously higher than those in group A and group B (P < 0.05); the clearance time of β-HCG and hospital stays were shorter (P < 0.05).Conclusions MTX pelvic injection via posterior fornix characterized by easy operation and less side effect,is a better therapy method for salpingocyesis in comparison with intramuscular injection.

关键词

甲氨蝶呤/输卵管妊娠/后穹窿/β-HCG

Key words

Methotrexate/ Salpingocyesis/ Posterior fornix/ β-HCG

引用本文复制引用

杨秀丽,曹玉平,刘志辉,陈苑红,汪盛参,黄海洲,李嫦..甲氨蝶呤不同途径给药治疗输卵管妊娠的疗效分析[J].国际医药卫生导报,2013,19(21):3278-3280,3.

基金项目

东莞市科技局立项(201110515035187) (201110515035187)

国际医药卫生导报

1007-1245

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