摘要
目的 :研究超声诊断监测药物保守治疗宫外孕前后的超声图像特征 ,以提高临床对宫外孕的诊断正确率及评价保守治疗效果。材料与方法 :对 33例宫外孕患者治疗前进行超声监测、确诊 ,然后分二组给药 ,一组氨甲喋呤 <MTX >5 0mg肌注二次 ;另一组MTX5 0mg肌注再加米非酮分三次口服 ,分别在用药 3天、1、2、4、8周进行超声监测。了解宫外孕回声图变化情况 ,直至恢复正常。结果 :超声不但能确诊宫外孕 ,还可对其保守治疗效果作出准确的判断。宫外孕包块消失 ,子宫、附件声像图恢复正常是保守治疗的有效指标。胎囊完整者治疗效果较好 ,混合性包块次之 ,包块破裂型需急诊手术。结论 :超声是一种诊断宫外孕及观察其保守治疗效果简单而准确的监测手段。
Purpose: To improve diagnostic accuracy of extra-uterine pregnancy and evaluate effects of its conservative therapy, sonography features of extra-uterine pregnancy were studied before and after conservative therapy. Materials and Methods: 33 cases of extra-uterine pregnancy proved by ultrasound(US) were divided into two groups. One group was given methotrexate(MTX) 50mg two times intramuscularly, the other group was injected one time along with oral Mifepristone 150mg three times. US examination was repeated at 3 days、1、2、4 and 8 weeks. Results: US can exactly diagnose extra-uterine pregnancy, and also precisely determine effects of conservative therapy. Disappearance of extra-uterine mass and recovery of uterine and its appendix mark the effect of therapy. The effect of medication on complete fetal cyst was better then mixed mass, and the ruptures mass required emergency surgery. Conclusions US is a simple and precise tool in diagnosis of extra-uterine pregnancy and in evaluation of conservative therapy.
出处
《中国医学影像学杂志》
CSCD
2000年第6期444-445,465,共3页
Chinese Journal of Medical Imaging
关键词
宫外孕
保守治疗
超声监测
ultrasound
extra-uterine pregnancy
conservative therapy
