摘要
目的探讨一种安全、有效、微创、不良反应小且不影响生育功能的宫角妊娠的治疗方法。方法回顾性分析61例未破裂型宫角妊娠患者的临床资料,按不同治疗方法分为4组。A组20例行米非司酮配伍米索前列醇口服加行清宫术,B组16例直接超声引导下吸宫,C组15例行MTX化疗(包括超声引导下局部注射MTX化疗5例和全身MTX化疗10例),D组10例超声引导下直接宫腔镜手术治疗。结果患者7 dβ-HCG下降率和治疗成功率,A组均显著高于B组、C组和D组(P<0.05)。结论未破裂型宫角妊娠时采用米非司酮配伍米索前列醇口服加行清宫的保守疗法在疗效上优于其他方法。
Objective To investigate a safe,effective,minimally invasive way which is of small adverse reaction and do no affect the fertility function to treat cornual pregnancy.Methods 61 patients with unruptured cornual pregnancy were divided into four groups according to the different ways of therapy.Group A（20 cases） were treated with the conservative method by giving mifepristone,oral misoprostol and curettage;group B（16 cases） were conducted ultrasonic uterine aspiration directly;group C（15 cases） were given MTX chemotherapy,including 5 cases of local injection of MTX and 10 cases of systemic injection of MTX;group D（10 cases） were conducted ultrasonic hysteroscope operation.Results The rate of β-HCG descent and treatment success of group A were obviously higher than those of the other groups seven days later（P0.05）.Conclusion The conservative way of giving mifepristone,oral misoprostol and curettage could recieve a better efficacy in the treatment of unruptured cornual pregnancy.
出处
《局解手术学杂志》
2013年第1期70-71,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
子宫角内妊娠
保守治疗
疗效
cornual pregnancy
conservative treatment
curative effect
