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目的:观察在未破裂异位妊娠患者中使用甲氨喋呤肌注和经阴道超声引导下甲氨喋呤穿刺介入治疗的临床效果。方法:选择我院收治的有生育愿望的未破裂异位妊娠患者86例,随机分为对照组和观察组各43例,对比两组患者治疗总有效率和输卵管再通率。结果:观察组患者治疗总有效率和输卵管再通率均明显高于对照组,组间比较存在统计学意义(P<0.05)。结论:采用在阴道超声引导下甲氨喋呤穿刺介入治疗未破裂异位妊娠具有较高的治疗有效率和输卵管再通率,有益于疾病的康复。
OBJECTIVE: To observe the clinical effect of methotrexate intramuscular injection and transvaginal ultrasound-guided methotrexate-based intervention in unruptured ectopic pregnancy. Methods: A total of 86 cases of unruptured ectopic pregnancy with wish of childbearing admitted to our hospital were selected and randomly divided into control group and observation group with 43 cases each. The total effective rate and the tubal recanalization rate were compared between the two groups. Results: The total effective rate of treatment and tubal recanalization rate in the observation group were significantly higher than those in the control group, with statistical significance (P <0.05). Conclusion: The treatment of unruptured ectopic pregnancy with methotrexate puncture under the guidance of vaginal ultrasound has higher therapeutic efficiency and tubal recanalization rate, which is beneficial to the recovery of the disease.