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宫外孕腹腔镜下输卵管内注射氨甲喋呤(MTX)是一种治疗方法,治疗后宫内再孕能力目前仍不很满意。作者观察1例:患者38岁,G2P0,因停经5周阴道出血就诊。无腹痛.临床检查正常,阴道B超仅发现Douglas窝少量积液,血hCG示103 IU/L。4天后hCG上升至140 IU/L,妇检左侧Douglas窝有触痛,再次B超发现左输卵管峡部妊娠。输卵管φ15mm,无任何破裂征象,腹腔镜下输卵管内注射MTX50mg,临床症状明显改善,10天后血hCG(一)。治疗3个月后子宫输卵管造影(HSG)显示双侧
Ectopic pregnancy Laparoscopic intra-tubal injection of methotrexate (MTX) is a method of treatment of intrauterine pregnancy after pregnancy is still not very satisfied with the ability. The authors observed 1 patient: 38 years old, G2P0, due to menopausal vaginal bleeding for 5 weeks treatment. No abdominal pain. Clinical examination was normal, vaginal B-Douglas found only a small amount of effusion, blood hCG showed 103 IU / L. After 4 days, the hCG increased to 140 IU / L. There was tenderness in the Douglas fossa on the left side of the women’s examinations. Once again, B-waves were found in the left oviduct isthmus. Tubal φ15mm, without any signs of rupture, laparoscopic tubal injection MTX50mg, clinical symptoms improved significantly, 10 days after the blood hCG (a). Hysterosalpingography (HSG) showed bilateral on 3 months after treatment