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目的:观察米非司酮治疗异位妊娠的适应条件。方法:把成功的36例与失败的8例的临床资料。治疗后变化情况进行对比分析。结果:当血清β-HCG<6000 IU/ L、血β-HCG 5日下降率≥35%,停经天数<8周,盆腔包块直径<4cm、5日包块直径缩小率≥10%时,米非司酮治疗成功率达92.3%。结论:在合适的条件下,米非司酮可用于保守治疗异位妊娠,且无任何毒副作用,疗效好。
Objective: To observe the adaptation of mifepristone to ectopic pregnancy. METHODS: The clinical data of 36 successful cases and 8 failed cases were included. After treatment changes were compared. Results: When the serum β-HCG <6000 IU / L, blood β-HCG 5 days decline rate of ≥ 35%, menopause days <8 weeks, pelvic mass diameter <4cm, 5 days mass shrinkage ≥ 10% Mifepristone treatment success rate of 92.3%. Conclusion: Under appropriate conditions, mifepristone can be used for conservative treatment of ectopic pregnancy without any side effects and has good curative effect.