Integrative Medicine on the conservative treatment of ectopic pregnancy in 20 cases.docVIP

 PAGE \* MERGEFORMAT 8 Integrative Medicine on the conservative treatment of ectopic pregnancy in 20 cases Keywords:] ectopic pregnancy, conservative treatment, methotrexate, mifepristone, Chinese and Western medicine therapy In recent years, with the secondary inspection technology improved, in particular, the serum human chorionic gonadotropin (HCG) and B-Determination of applications for the early diagnosis of ectopic pregnancy is possible, thus the success of conservative treatment of ectopic pregnancy, provided the conditions. Conservative treatment of trauma and abdominal surgery can be avoided interference, and a complete tube, retain fertility .2005 September -2007 In June, gynecology in our hospital were diagnosed with ectopic pregnancy, 36 cases of unruptured tubal pregnancy, of which 20 were treated with the conservative treatment of Integrative Medicine. now the results reported below. 1 Materials and Methods 1.1 The indication for conservative treatment ① unruptured tubal pregnancy, intra-abdominal free fluid is less than 100 mL, ② 600 U / L ≤ β-HCG ≤ 3 000 U / L, ③ stable vital signs, no severe abdominal pain, blood tests normal, liver and kidney function tests normal, Gynecological Examining the side of the annex to reach mass, ④ B-ultrasonic examination: No intrauterine gestational sac, adnexal mass diameter lt;5 cm; ⑤ laboratory tests: urine pregnancy test was positive or weakly positive [1]. 1.2 Grouping 36 cases were randomly divided into 2 groups. Observe the 20 patients, ages 16 to 43 years, average 29.5 years of age, menopause, 35 ~ 50 d, urine pregnancy test was positive or weakly positive. With a small amount of lower abdominal pain and irregular vaginal bleeding brown 14 cases, no pain, only a small amount of brown vaginal bleeding in 4 cases; no abdominal pain, vaginal bleeding in 2 cases, B-checking the side of the annex of 20 cases have mass, diameter 1 ~ 5 cm, an average of 3.85 cm, 600 U / L ≤ β-HCG ≤ 3 000 U /