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目的探讨输卵管妊娠非手术治疗的临床应用。方法息县计生指导站16例输卵管妊娠使用甲氨蝶呤全身用药,并应用宫腔镜结合X线透视输卵管造影局部用药治疗。结果 15例患者用药后24-36d,血β-hCG持续下降,阴道超声示附件区包块逐渐缩小。结论应用甲氨蝶呤全身结合局部用药对早期输卵管妊娠可取得良好效果,保留了患者的生育功能。
Objective To investigate the clinical application of non-surgical treatment of tubal pregnancy. Methods Method County, family planning guidance station 16 cases of tubal pregnancy methotrexate systemic medication, and the application of hysteroscopy combined with X-ray tubal topical treatment. Results The blood β-hCG in 15 patients decreased continuously 24-36 days after treatment. The mass of the appendix in the vaginal ultrasound was gradually reduced. Conclusion The application of methotrexate combined with topical administration can achieve good results in early tubal pregnancy and preserve the reproductive function of patients.