| 评分法制定异位妊娠保守治疗适应证的研究 |
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| 引用本文： | 刘荃. 评分法制定异位妊娠保守治疗适应证的研究[J]. 中国计划生育学杂志, 2004, 12(6): 357-359 |
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| 作者姓名： | 刘荃 |
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| 作者单位： | 湖北省安陆市计划生育服务站,432600 |
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| 摘 要： | 目的:探讨彩色多普勒超声(CDFI)筛选适合药物保守治疗异位妊娠的临床价值。方法:50例生命体征平稳的异位妊娠患者,在行CDFI检查后接受甲氨喋呤(MTX)50mg/m2单次肌肉注射配合口服米非司酮150mg,随访直至临床结局。分析成功与失败病例CDFI的特点和绒毛膜促性腺激素(hCG)水平,并制作CDFI评分。结果:CDFI能直接反映胚胎生命力,CDFI图像和血清hCG水平不同者,保守治疗成功率有很大差异。结论:CDFI评分可应用于适合保守治疗异位妊娠病例的筛选。对评分>9者,因失败率高,不推荐药物保守治疗。
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| 关 键 词： | 彩色多普勒超声 异位妊娠 药物治疗 评分 |
| 修稿时间： | 2003-11-24 |
Study of CDFI-based Pretherapeutic Score for Expectant Treatment of Ectopic Pregnancy |
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| Liu Quan. Study of CDFI-based Pretherapeutic Score for Expectant Treatment of Ectopic Pregnancy[J]. Chinese Journal of Family Planning, 2004, 12(6): 357-359 |
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| Authors: | Liu Quan |
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| Affiliation: | Liu Quan. The Family Plan ning Service Station of Anlu City,Hubei 432600 |
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| Abstract: | Objective: To explore the clinical value of Colour Doppler Flow Imaging (CDFI) for medical treatment of ectopic pregnancy. Methods: 50 patients with ectopic pregnancy were injected with a single dose of 50 mg/m2 methotrexate (MIX) and took orally 150 mg mifepristone after a CDFI examination. CDFI -based score was made after studying serum human chori onic gonadotropin (hCG) levels. Results: CDFI showed the embryonic directly. The successful rate of expectant treatment was different along with different CDFI and hCG level. Conclusion: The CDFI -based score is useful for the screening of medical treatment of ectopic pregnancy. The medical treatment is not recommended, if the score is more than nine because of high failure. |
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| Keywords: | Colour Doppler Flow Imaging(CDFI) Ectopic pregnancy Medical treatment Score |
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