氨甲喋呤单次肌肉注射治疗输卵管妊娠疗效分析

目的 探讨氨甲喋呤（ＭＴＸ）单次肌肉注射治疗输卵管妊娠的疗效,并观察失败的相关因素及其数量与失败可能性的关系。方法 对４１例治疗成功和１１例治疗失败病例的临床资料、包块面积改变以及血清β－ｈＣＧ值的变化进行对比分析。结果 失败组平均停经时间６３．４天、血β－ｈＣＧ平均１５７７６．５ＩＵ／Ｌ、治疗３日后β－ｈＣＧ平均下降１８．３％、治疗后包块平均面积增加６４．２％。成功组平均停经时间５６．４天、血β     

氨甲喋呤单次肌肉注射治疗异位妊娠

探讨氨甲喋呤单次肌内注射治疗异位妊娠的效果及适应证。对２７例异位妊娠患者采用ＭＴＸ单次肌内注射，不同四氢叶酸解毒方案治疗。定量监测血β－ｈＣＧ直至正常。结果：２４例成功，成功率８８．９％。成功与失败患者的孕龄，异 妊娠包块直径间的差异无显著性，但治疗前腹痛症状的姓率及血β－ｈＣＧ值间的差异有非常显著性。     

中药与氨甲喋呤治疗异位妊娠36例分析

中药与氨甲喋呤治疗异位妊娠３６例分析赵光近些年，由于β－ｈＣＧ检测敏感性的提高以及Ｂ超的普遍应用，使得早期异位妊娠的诊断准确率大大提高，其中大部分为输卵管妊娠。采用保守疗法治疗早期异位妊娠，可以保持输卵管的结构及功能。掌握早期异位妊娠保守治疗的指征及...     

应用超声刀切除输卵管治疗输卵管妊娠36例分析

腹腔镜下手术能否顺利进行 ,很重要的一个方面就是止血和切割 ,目前常规所用的电刀、内凝器和微彼等 ,无法很好的将切割和止血结合在一起 ,而超声刀将切割和止血融于同一过程 ,使镜下手术可以更快更好的进行 ,我院在腹腔镜下应用超声刀切除输卵管治疗输卵管妊娠取得较好的效果 ,报告如下。1　资料与方法1.1　临床资料　 1998年 10月至 1999年 5月 ,在电视腹腔镜下 ,应用ＳｏｎｏＳｕｒｇ超声刀及腹腔镜器械 (Ｏｌｙｍｐｕｓ公司 ) ,进行镜下手术 ,切除输卵管治疗输卵管妊娠 36例 ,其中输卵管破坏严重者 15例。患者年龄 2 3～ 34岁 ,平均2 6 …     

宫腔镜下输卵管插管注人氨甲喋呤治疗输卵管妊娠

宫腔镜下输卵管插管注人氨甲喋呤治疗输卵管妊娠施永鹏随着Ｂ超、β－ｈＣＧ放射免疫测定及腹腔镜的广泛应用，对于输卵管妊娠的早期诊断已成为现实，为保留输卵管功能创造了条件。我院自１９９４年１～５月采用宫腔镜下输卵管插管注人氯甲蝶吟（Ｍｅｔｈｏｔｒｅｘａｔｅ...     

宫腔镜下输卵管插管并注入氨甲喋呤治疗输卵管妊娠

宫腔镜下输卵管插管并注入氨甲喋呤治疗输卵管妊娠葛春晓丁慧娟马莉宫腔镜下采用输卵管插管注入５－氟尿嘧啶治疗输卵管妊娠，已有报道［１］。我院自１９９３年１２月至１９９５年５月，在宫腔镜下采用输卵管插管一次注入氨甲喋呤（ＭＴＸ）４０ｍｇ，共治疗输卵管妊娠１...     

甲氨蝶呤小剂量肌肉注射和米非司酮联合治疗妊娠

我院自2001年始采用甲氨蝶呤(MTX)小剂量多次肌肉注射联合米非司酮治疗异位妊娠，取得了较好的疗效，现报告如下。     

36例输卵管妊娠保留功能性手术分析

目的研究各类型输卵管妊娠行显微技术保留功能性手术方法.方法对36例输卵管妊娠患者,以显微技术行输卵管切开、开窗、伞端整形进行手术.结果显微技术保留输卵管功能性手术,术后输卵管通畅率100%,宫内妊娠率83.33%.无1例再发生输卵管妊娠.结论对输卵管妊娠的未产妇,生育功能低及需要保留生育功能的妇女.保留功能性输卵管修复整形术,以采用显微技术为最好.     

甲氨蝶呤和米非司酮联合治疗非破裂型输卵管妊娠

目的探讨甲氨蝶呤(MTX)和米非司酮联合治疗非破裂型输卵管妊娠的效果。方法米非司酮300mg一次顿服,MTX20mg静注×5d。单用MTX的病人设为对照组。结果MTX和米非司酮联合治疗的成功率为87.5％,明显高于对照组。观察治疗期间病情变化,发现疗效与血β-hCG高低及有无心管搏动有关。结论MTX和米非司酮联合治疗非破裂型输卵管妊娠安全有效,适用于生命体征平稳、无剧烈腹痛、无心管搏动及血β-hCG＜30μg/L的非破裂型输卵管妊娠。     

Treatment of tubal pregnancy by laparoscopy

Three cases of ectopic pregnancy early diagnosticated are treated successfully with laparoscopic fulguration. Useful of this procedure is discussed and the needs of more experience is suggested.     

米非司酮联合中药治疗输卵管妊娠的疗效观察

目的探讨米非司酮联合中药治疗输卵管妊娠的疗效。方法将收治的78例输卵管妊娠保守治疗病例随机分成2组。A组40例单用甲氨蝶呤，β组38例用米非司酮联合中药治疗，两组均定期检测血β—HCG及B超了解子宫及附件情况。结果米非司酮联合中药治疗组成功率高，疗效明显优于单用甲氨蝶呤组。治疗1周后血β—HCG下降率B组明显高于A组。结论米非司酮联合中药治疗输卵管妊娠具有效果好、起效快的特点，值得临床推广应用。     

Surgical treatment by laparoscopy of tubal pregnancy]

The first five cases of salpingectomy treated in our service by laparoscopy are presented. We describe clinical symptoms and signs, surgery techniques and anatomo-pathological findings in each cases. Current literature is also discussed.     

Rupture of tubal pregnancy in the Vilnius population

OBJECTIVES: To evaluate the determinants of tubal rupture in women who suffered from ectopic pregnancy in relation to their demographic profile and medical history. STUDY DESIGN: This retrospective observational clinical study was conducted in five general hospitals in Vilnius, Lithuania. The population was composed of 879 women with surgically proven ectopic pregnancy. Tubal rupture was diagnosed at the time of surgery. Univariate and multivariate logistic regression analyses were performed to identify the risk factors for tubal rupture. RESULTS: The occurrence of tubal rupture was 29.5% (259/879). It was encountered significantly more often in women with age of > or =35 years (odds ratio 1.9 [1.3-2.8]). Patients whose EP was located in the isthmus were at higher risk of having tubal rupture (odds ratio 3.2 [2.2-4.5]) while known risk factors for EP were not associated with an elevated risk. CONCLUSIONS: Our data suggest that age of > or =35 years and implantation in the straightest segment of the tube could be associated with increased rate of tubal rupture. Of particular interest is the overall tubal rupture prevalence (29.5%) observed since these women were managed in an environment where transvaginal ultrasound equipment and quantitative assessment of beta-human chorionic gonadotrophin were not routinely available.