MTX与米非司酮预防持续性异位妊娠的分析.pdfVIP

54 2005 2 12 1 Practical Preventive Medicine,Feb. 2005, Vol 12, No. 1 : 1006- 3110( 2005) 01- 0054- 03 = 论 著 MTX 与米非司酮预防持续性异位妊娠的分析 潘 琼, 薛 敏 : ( MTX)( PEP) 201 , 109 MTX 20 mg, 92 300 mg MT X PEP 0. 92%, 2. 17%, ( P 0. 05) 1 d B- HCG , 73.3? 0. 16% 50. 8? 0.21%, ,3612 d B- HCG MTX PEP , , : 持续性异位妊娠; MTX; 米非司酮;腹腔镜保守性手术 : R71412 : AnAnalysis of MTXorMifepristonePrevention toPersistent EctopicPregnancy PAN Qiong, X UE Min(Department of Ob- stetrics Gy necology, t e T ird Xiangy a Hosp ital of Central Sout University, C angs a 410013, C ina) Abstract: Objective Toanalyzethetherapeuticeffect of methotrexate (MTX) ormifepristonepreventiontopersistent ectopic pregnancy after conservatively laparoscopic operation. Method Twohundredand one ectopic pregnancy patients were chosenand conservatively operated on, MTX 20mg were poured into fallopian tube lumenin109 cases , another 92 casestook mifepristoneafterthe operation. Result The incidence of persistent ectopic pregnancy was0.92 withMTX inconservatively laparoscopic operation, andtheincidencewithmifepristonewas2.17 , the differencewasnot statistically significant (P 0.05). SerumB- HCGintwo groups descendedby large scopein the first 24 hours after operation, descent ratewas73.3? 0.16 and50.8? 0.21 , and the difference has statistical significance betweentwo groups (P 0.05). SerumB- HCGdescent intwogroups in3 days, 6 days, 12 dayshas nostatistical significance. Conclusion Methotrexate (MTX) or mifepristonecanprevent persistent ectopic pregnancy occurrenceafter conservatively laparoscopic operation, and the side effect is small, whichisaneffective subsidiary way to treat persistent ectopic pregnancy. K