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探讨透视下经阴输卵管妊娠囊表面注射甲氨喋呤(MTX),配合口服异位汤,静脉用丹参注射液的方法,治疗输卵管妊娠的近期与远期效果及适应症。结果:10例患者8例成功。近期疗效:治疗后8例患者阴道流血时间平均9.7天;恢复排卵时间19.71天;治疗后22天血β-hCG降至正常,同时B超见输卵管妊娠包块直径<1.6cm。远期疗效:8例患者5例未避孕,4例获得宫内妊娠(4/5)。其中2例足月分娩,出生儿智力、发育及健康状况均正常。
To investigate the short-term and long-term effects and indications of tubulointerstitial tubulointerstitial injection of methotrexate (MTX) in combination with oral heterotopic soup and intravenous injection of Salvia miltiorrhiza in the perspective of fluoroscopy. Results: Eight of 10 patients were successful. Recent curative effect: After treatment, the average time of vaginal bleeding in 8 patients was 9.7 days; the ovulation recovery time was 19.71 days; the blood β-hCG decreased to normal at 22 days after treatment, and the diameter of tubal pregnancy mass B <1.6 cm. Long-term efficacy: 5 cases of 8 patients without contraception, 4 cases of intrauterine pregnancy (4/5). Two cases of full-term delivery, the birth of intelligence, development and health are normal.