宫内环合并异位妊娠中西医结合保守治疗29例剖析.docVIP

宫内环合并异位妊娠中西医结合保守治疗29例剖析 　　[摘要] 目的 探讨宫内环合并异位妊娠的中西医结合保守治疗。 方法 选择我院2014～2016年宫内环合并异位妊娠住院患者29例为研究对象，入院后完善检查，均予以甲氨蝶呤与中药配伍的保守治疗，并对其治疗成功因素加以探讨。结果 宫内环合并异位妊娠29例住院期间生命体征正常，复查血β-HCG均大幅度下降，患者随访均正常月经来潮，无明显合并症与并发症。结论 宫内环合并异位妊娠，可以早期发现，保守治疗成功有效，可以避免手术，值得尝试。 　　[关键词] 宫内节育环；异位妊娠；保守治疗；中西医结合；避孕 　　[中?D分类号] R714.22 [文献标识码] B [文章编号] 1673-9701（2017）07-0053-03 　　[Abstract] Objective To explore the conservative treatment of integrated traditional Chinese and western medicine in the treatment of ectopic pregnancy combined with intrauterine ring. Methods A total of 29 patients with ectopic pregnancy combined with intrauterine ring who were hospitalized in our hospital from 2014 to 2016 were selected as study objects. They were given comprehensive examinations after admission， and were given the conservative treatment of methotrexate and traditional Chinese medicine matching. The success factors of the treatment were discussed. Results 29 cases of ectopic pregnancy combined with intrauterine ring with normal vital signs at the time of hospitalization， blood β-HCG was declined substantially， patients had normal menstrual cramps when followed up， there were no significant complications and complications. Conclusion The ectopic pregnancy combined with intrauterine ring can be found early， and conservative treatment can be successful and effective， so as to avoid surgery， which is worth trying. 　　[Key words] Intrauterine ring； Ectopic pregnancy； Conservative treatment； Integrated Chinese and western medicine； Contraception 　　宫内环是一种放置在子宫腔内的避孕装置，由于初期使用的装置多是环状的，通常称节育环。宫内节育器的种类很多，国内常用的有金属单环、麻花环、混合环、节育环、T形环等，但以金属单环为最多，是放置在子宫腔内的避孕装置，通常以不锈钢、塑料、硅橡胶等材料制成，不带药的节育器称惰性宫内节育器，如宫内节育器加上孕激素或铜，可提高避孕效果，称之为带药或活性宫内节育器，是目前推崇的节育器械种类。宫内节育环对全身干扰较小，作用于局部，取出后不影响生育，具有安全、有效、可逆、简便、经济等优点，是最常用的节育用具之一。采用宫内节育环避孕者在我国占40%以上，有效率约为90%。目前宫内环是中国育龄期妇女最常被迫选用的长效避孕措施，往往一个环在体内放置的时间可达十余年。将节育器放置于育龄妇女的宫腔内，通过机械性刺激及化学物质的干扰而达到流产避孕的目的，不抑制排卵，不影响女性内分泌系统，因而避免了一般药物避孕的不良反应。宫内环本是避免宫内妊娠的有效避孕方式，具有经济、方便等诸多优越性，一直是我国育龄妇女的首选避孕方式，成功率高，并发症少。但是由于种种原因，临床上时有宫内环