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目的:分析腹腔镜手术联合大剂量甲氨蝶呤治疗宫外孕的效果。方法:选取安岳县李家镇中心卫生院收治的宫外孕患者66例,以随机分组法将患者分为对照组与观察组各33例,对照组行腹腔镜手术治疗,观察组行腹腔镜手术联合大剂量甲氨蝶呤治疗。结果:观察组β-HCG下降率为(54.1±6.7)%,观察组β-人绒毛膜促性腺激素(β-HCG)下降率显著高于对照组,观察组首次排气时间、β-HCG下降至恢复正常时间与住院时间均显著短于对照组。结论:腹腔镜手术联合大剂量甲氨蝶呤治疗宫外孕,可有效缩短患者首次排气时间、β-HCG恢复正常时间以及住院时间。
Objective: To analyze the effect of laparoscopic surgery combined with high-dose methotrexate in the treatment of ectopic pregnancy. Methods: Sixty-six ectopic pregnancy patients were selected from Lijia Town Central Hospital of Anyue County. The patients were divided into control group and observation group with 33 cases in each group randomly. The control group received laparoscopic surgery. The observation group received laparoscopic operation Combined high-dose methotrexate treatment. Results: The decrease rate of β-HCG in the observation group was (54.1 ± 6.7)%. The decrease rate of β-HCG in the observation group was significantly higher than that of the control group. The first exhaust time, β-HCG Decreased to return to normal time and hospitalization were significantly shorter than the control group. Conclusion: Laparoscopic surgery combined with high-dose methotrexate in the treatment of ectopic pregnancy can effectively shorten the first time of patients with excretory gas, β-HCG recovery time and hospital stay.