CAJ | 학술논문

目的比较甲氨蝶呤联合米非司酮保守治疗与腹腔镜手术治疗异位妊娠的疗效.方法将85例异位妊娠患者,按自愿原则选择甲氨蝶呤联合米非司酮药物保守治疗的41例患者作为对照组,选择接受腹腔镜手术治疗的44例患者作为观察组.观察比较两组患者的临床疗效、治疗7d后血人绒毛膜促性腺激素测定(β-HCG)值的变化及恢复正常的时间.结果治疗后,观察组患者的治愈率为100％,明显高于对照组的90％ (P ＜0.05)；观察组患者的血β-HCG值降低较对照组快,恢复正常的时间短(P＜0.05).结论腹腔镜手术治疗与甲氨蝶呤联合米非司酮药物保守治疗均能有效治疗异位妊娠,但腹腔镜手术治疗的临床疗效更佳,恢复快,能较彻底治愈患者.
목적 비교갑안접령연합미비사동보수치료여복강경수술치료이위임신적료효.방법 장85례이위임신환자,안자원원칙선택갑안접령연합미비사동약물보수치료적41례환자작위대조조,선택접수복강경수술치료적44례환자작위관찰조.관찰비교량조환자적림상료효、치료7d후혈인융모막촉성선격소측정(β-HCG)치적변화급회복정상적시간.결과 치료후,관찰조환자적치유솔위100％,명현고우대조조적90％ (P ＜0.05)；관찰조환자적혈β-HCG치강저교대조조쾌,회복정상적시간단(P＜0.05).결론 복강경수술치료여갑안접령연합미비사동약물보수치료균능유효치료이위임신,단복강경수술치료적림상료효경가,회복쾌,능교철저치유환자.
Objective To investigate the efficacy of metholrexate combined with rmifepristone and laparoscopic surgery for treating ectopic pregnancy.Methods 85 patient with ectopic pregnancy were selected.41 cases treated with methotrexate and mifeprisione were considered as the control group,while 44 cases with laparoscopic surgery were considered as the observalion group on the voluntary basis.The clinical efficacy,serum β-HCG value and recovery time after 7d were compared between the two groups.Results After the treatment,the cure rate in the observation group was 100％ which was significantly higher than 90％ of the control group ( P ＜ 0.05 ),the serum β-HCG value of the observation group was lower and the restoration normal time was shorter than the control group ( P ＜0.05).Conclusions Laparoscopic surgery and conservative treatment of methotrexate combined with mifepristone are effective in the treatment of ectopic pregnancy.However,the clinical efficacy of the laparoscopic surgery is better and it has rapid recovery time,and it can completely cure the patients.