氨甲蝶呤联合中药治疗与氨甲蝶呤治疗输卵管妊娠疗效比较

目的观察MTX联合中药治疗与MTX治疗输卵管妊娠的疗效。方法A组：MTX单次肌肉注射并口服中药；B组：MTX单次肌肉注射，定期监测血8-HCG水平及阴道B超监测包块情况至正常，治疗后6个月行子宫输卵管碘油造影，了解输卵管通畅情况。结果A组治愈率83．3％，B组治愈率78．2％，两组治愈率无明显差异（P〉0．05）。A组较B组明显缩短血β—HCG降至正常水平所需时间（P〈0．05），A组副反应与B组无明显差异（P〉0．05）。治疗后6个月行子宫输卵管碘油造影，A组输卵管通畅率88．8％，B组输卵管通畅率71．8％，A组输卵管通畅率较B组高（P〈0．05）。结论MTX联合中药治疗输卵管妊娠疗效好，治疗后输卵管通畅率高，值得临床推广。

Cliucal Study on Treatment of Tubal Pregnancy by Compared Combined Treaatment of Methotrexate with TCM and MTX

Objective To observe the curative effect of MTX combined with TCM and MTX treatment of tubal pregnancy.Methods The group A was treated with single muscular injection of MTX with TCM.The group B was treated with MTX injection.The B-HCG level,vaginal B echo,mass situation and tubal obstruction were observed after 6 months.Results There curative rate was 83.3% in group A and 78.2% in group B without difference as well as side effect.The time of decreasing level of HCG and tubal smooth rate had significant difference with 88.8% in group A and 71.8% in group B.Conclusion The combination of MTX and TCM might have better effect to treat the tubal pregnancy with good smooth rate.