| 腹腔镜联合甲氨喋呤(MTX)与单纯MTX保守治疗异位妊娠的疗效比较 |
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| 引用本文： | 蒋庆源,陈德新.腹腔镜联合甲氨喋呤(MTX)与单纯MTX保守治疗异位妊娠的疗效比较[J].中国现代医学杂志,2008,18(6):792-795. |
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| 作者姓名： | 蒋庆源 陈德新 |
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| 作者单位： | 四川省妇女儿童医院,妇产科,四川,成都,610031 |
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| 摘 要： | 目的比较腹腔镜联合MTX与单纯MTX保守治疗异位妊娠的临床疗效。方法选取2005年1月～2006年1月在四川省妇女儿童医院住院治疗的89例异位妊娠患者，分为腹腔镜联合MTX保守手术治疗组（A组）和单纯MTX保守治疗组（B组），分别观察两组患者治疗前血清β—HCG值、附件包块大小、住院天数、住院费用、出院时血中β—HCG浓度、输卵管通水情况、再次宫内妊娠以及再次同侧异位妊娠情况。结果A组比B组住院天数短（P〈0.01），血中β—HCG下降快（P〈0.01），再次宫内妊娠率高（P〈0.05）。结论相对于单纯MTX药物保守治疗，腹腔镜联合MTX保守手术治疗异位妊娠疗效快，住院时间短，远期并发症少，再次宫内妊娠率高，具有良好的临床应用价值。
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| 关 键 词： | 异位妊娠 腹腔镜 甲氨蝶呤(MTX) 联合治疗 腹腔镜 甲氨喋呤 药物保守治疗 异位妊娠 疗效比较 ectopic pregnancy treatment single laparoscopic effect 价值 临床应用 远期并发症 住院时间 手术治疗 宫内妊娠率 结果 情况 输卵管通水 浓度 |
| 文章编号： | 1005-8982(2008)06-0792-03 |
| 修稿时间： | 2007年12月12 |
Comparison on the effect of between laparoscopic oviduct-sparing combining with MTX and single MTX in treatment of ectopic pregnancy |
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| JIANG Qing-yuan,CHEN De-xin.Comparison on the effect of between laparoscopic oviduct-sparing combining with MTX and single MTX in treatment of ectopic pregnancy[J].China Journal of Modern Medicine,2008,18(6):792-795. |
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| Authors: | JIANG Qing-yuan CHEN De-xin |
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| Institution: | JIANG Qing-yuan,CHEN De-xin (Department of Obstetrics , Gynecolog,Sichuan Hospital of Woman , Children,Chengdu,Sichuan 610031,P.R.China) |
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| Abstract: | Objective] To compare the clinical effect of laparoscopic oviduct-sparing combining MTX and single MTX in treatment of ectopic pregnancy. Methods] Selecting 89 patients with ectopic pregnancy from Sichuan province hospital of women and children from Jan. 2005 to Jan. 2006. The patients were divided into two groups. Group A was treated with laparoscopic oviduct-sparing combining MTX; Group B was treated with single MTX. Results] The treatment data showed group A remarkably differences from group B in shor... |
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| Keywords: | ectopic pregnancy laparoscopic oviduct-sparing MTX combination treatment |
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