On Mifepristone combined with methotrexate treatment of ectopic pregnancy Analysis of 32 Cases.docVIP

On Mifepristone combined with methotrexate treatment of ectopic pregnancy Analysis of 32 Cases [Paper Keywords] Mifepristone; methotrexate; ectopic pregnancy [Abstract] Objective: To evaluate mifepristone combined methotrexate treatment of ectopic pregnancy safety and effectiveness. Methods: from 2003 to 2005, 32 cases diagnosed in patients with unruptured ectopic pregnancy with mifepristone in my hospital for a conservative approach combined with methotrexate treatment, by analyzing the patient’s clinical data, observe the therapeutic effect of this combination therapy and its side effects. Results: 32 patients were 28 cases of success, the success rate of 93.3%, 2 patients switched due to rupture of ectopic pregnancy surgical treatment, 2 patients due to serum β -HCG continued to rise switch surgery. Conclusion: Mifepristone combined with methotrexate treatment of killing embryos is an economic, convenient and side effects of conservative treatment, the body damage to a small, easy for patients to accept. Ectopic pregnancy refers to a fertilized egg in the uterus outside the body cavity implantation, for one of Obstetrics and Gynecology common acute abdomen, if not treated in time can be life-threatening. Sites, including tubal pregnancy ectopic pregnancy, ovarian pregnancy, cervical pregnancy and other pregnancy and broad ligament, of which the most common tubal pregnancy, accounting for about 95% of ectopic pregnancy. Statistics show that, although the incidence of ectopic pregnancy, a gradual upward trend in recent years, but patients there was a downward trend in the proportion of deaths in 1970, ectopic pregnancy per 10 000 patients died 35.5 cases, while in 1992 only 3.8 cases of death [1]. Ectopic pregnancy mortality benefit from early diagnosis and treatment of the major advances in technology, treatment modalities, including surgery and non-surgical treatment. In the 2003 to 2005 period, I Division of early unruptured ectopic pregnancy in patients tak