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目的:探讨米福(米非司酮胶囊)联合中药制剂保守治疗异位妊娠的临床效果。方法:回顾性分析76例采用口服米福20mg/次每天2次联合口服大黄蜇虫1.6 g/次每天2次保守治疗的异位妊娠患者临床资料。结果:成功治愈59例,占77.6%;保守治疗失败转为手术治疗13例,占17.1%;保守治疗过程中因血β-HCG下降缓慢强烈要求手术4例,占5.2%。结论:米福联合中药制剂保守治疗异位妊娠效果确切,治愈率高,安全、经济、简便,医从性高,并可以保留生育能力,是保守治疗异位妊娠的重要方法之一,值得临床推广。
Objective: To investigate the clinical effect of mifepristone (mifepristone capsule) combined with traditional Chinese medicine in the conservative treatment of ectopic pregnancy. Methods: The clinical data of 76 patients with ectopic pregnancy treated with oral Mifeprist 20mg / times twice daily combined with oral administration of rhubarb stool 1.6g / time twice daily conservatively were retrospectively analyzed. Results: 59 cases were cured successfully, accounting for 77.6%; conservative treatment failed to surgical treatment of 13 cases, accounting for 17.1%; conservative treatment due to slow blood β-HCG strongly requested surgery in 4 cases, accounting for 5.2%. Conclusions: The conservative treatment of ectopic pregnancy by Meifu combined with traditional Chinese medicine has the advantages of exact effect, high cure rate, safety, economy, simplicity, high follow-up and retention of fertility. It is one of the most important methods for the conservative treatment of ectopic pregnancy. Promotion.