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目的探讨异位妊娠药物保守治疗。方法选取2008年8月至2011年12月在我院妇产科住院的异位妊娠患者69例分为A组采用甲氨蝶呤治疗,B组采用甲氨蝶呤联合米非司酮进行治疗。结果 A组总治愈率为71.2%,B组为81.3%,两组比较差异有统计学意义P<0.05。结论甲氨蝶呤、米非司酮联合治疗疗效有叠加作用,可提高保守治疗异位妊娠治愈率,避免了手术及术后并发症,减少了盆腔粘连,提高了未来生育率。
Objective To investigate the conservative treatment of ectopic pregnancy drug. Methods 69 cases of ectopic pregnancy hospitalized in obstetrics and gynecology department of our hospital from August 2008 to December 2011 were divided into group A treated with methotrexate and group B treated with methotrexate combined with mifepristone . Results The total cure rate in group A was 71.2% and in group B was 81.3%. There was significant difference between the two groups (P <0.05). Conclusion Combination of methotrexate and mifepristone has a superposition effect, which can improve the cure rate of conservative treatment of ectopic pregnancy, avoid the operation and postoperative complications, reduce the pelvic adhesions and improve the future fertility rate.