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目的:观察米非司酮联合氨甲蝶呤及微波治疗异位妊娠的临床效果。方法:将82例异位妊娠患者随机分为两组,观察组41例采用米非司酮联合氨甲蝶呤及微波治疗,对照组41例仅采用米非司酮联合氨甲蝶呤进行治疗,比较两组的治疗成功率及治疗前后β-HCG水平和包块直径变化。结果:观察组的治疗成功率明显高于对照组(P<0.05)。两组治疗后每周包块直径逐渐下降,并且观察组治疗后β-HCG水平和包块直径均明显低于同期对照组,两组比较差异有统计学意义(P<0.05)。结论:米非司酮联合氨甲蝶呤及微波对异位妊娠进行治疗,能够明显提高临床疗效,显著降低β-HCG水平和减小包块直径,值得临床推广应用。
Objective: To observe the clinical effect of mifepristone combined with methotrexate and microwave treatment of ectopic pregnancy. Methods: 82 cases of ectopic pregnancy were randomly divided into two groups, the observation group 41 cases with mifepristone combined with methotrexate and microwave treatment, 41 cases in the control group only with mifepristone combined with methotrexate treatment The success rate of treatment and the changes of β-HCG level and mass diameter before and after treatment were compared between the two groups. Results: The success rate of treatment in observation group was significantly higher than that in control group (P <0.05). The diameter of peritubal mass decreased gradually in both groups after treatment, and the level of β-HCG and the diameter of mass in the observation group were significantly lower than those in the control group. There was significant difference between the two groups (P <0.05). Conclusion: Mifepristone combined with methotrexate and microwave treatment of ectopic pregnancy can significantly improve the clinical efficacy, significantly reduce the level of β-HCG and reduce the diameter of the mass, worthy of clinical application.