摘要
目的：观察３种异位妊娠保守治疗方法的治疗效果及副反应。方法：对２５例异位妊娠患者分别采用Ｒｕ４８６（１１ 例）、５－Ｆｕ（１０ 例）及ＭＴＸ（４ 例）加中药进行保守治疗。结果：３ 组治疗的成功率分别为８０％ （５－Ｆｕ）、９０．９％ （Ｒｕ４８６）及１００％ （ＭＴＸ），５－Ｆｕ 及Ｒｕ４８６ 组血β－ＨＣＧ平均转阴时间经比较（ｔ检验）无显著性差异（Ｐ＞ ０．０５）。结论：３ 组疗效无明显差异。５－Ｆｕ 及ＭＴＸ治疗副反应明显，而Ｒｕ４８６ 无明显副反应且给药方便，故更可取。
Objective: The combined use of high resolution vaginal ultrasonography and quantitative serum β HCG radioimmuno assay offers an early and exact diagnosis of ectopic pregnancy. Conservative treatment for ectopic pregnancy has become increasingly popular. In this review, we compare three main medical treatment alternatives for ectopic pregnancy. Methods: Twenty five women with unruptured ectopic preganacies from July 1995 to May 1998 received Ru486(11), 5 Fu(10) or MTX(4) treatment. Results: All treatments were successful. The success rates are 80% (5 Fu), 90.9% (Ru486) and 100% (MTX). MTX treatment group involve only 4 patients, all are successful. Mean disappearance time of serum HCG levels was similar in 5 Fu and Ru486 treatment groups. No difference was observed between the two groups (P>0.05). Conclusion: Ru486 treatment group seems to be a preferred alternative to 5 Fu. In selected cases, it is associated with a lower complication rate.
出处
《新疆医科大学学报》
CAS
1999年第2期114-115,共2页
Journal of Xinjiang Medical University
