超声介入联合米非司酮治疗非破裂型输卵管妊娠临床研究

摘要

目的 观察超声介入联合米非司酮治疗非破裂型输卵管妊娠的临床疗效.方法 选择2015年10月至2017年1月非破裂型输卵管妊娠患者60例,随机分为A组和B组,各30例.A组单纯给予米非司酮治疗,B组给予超声介入联合米非司酮治疗.结果 治疗后B组患者总有效率高于A组,妊娠包块消失时间、腹痛消失时间、阴道出血消失时间、血β-HCG恢复正常时间短于A组,β-HCG水平、妊娠包块大小、孕酮水平优于A组,差异均有统计学意义(P<0.05).结论 超声介入联合米非司酮治疗非破裂型输卵管妊娠临床效果确切,可有效改善患者的临床症状,缩小包块,降低血β-HCG和孕酮水平,并缩短治疗时间,值得临床推广.%Objective To observe the clinical effect of ultrasound intervention combined with mifepristone in treating unruptured tubal pregnancy. Methods A total of 60 patients with unruptured tubal pregnancy from October 2015 to January 2017 were collected and randomly divided into group A and group B,30 cases in each group. The group A was treated with mifepristone,the group B was treated with ultrasound combined with mifepristone. Results After treatment,The total effective rate of the group B was higher than that of the group A,the disappearance time of abdominal pain,the disappearance time of vaginal bleeding and the recovery time of blood β-HCG in the group B were shorter than those in the group A ,and the blood β-HCG ,the size of gestational mass and the level of progesterone in the group B were better than those of the group A ,all the differences were statistically significant( P < 0. 05 ). Conclusion Ultrasound intervention combined with mifepristone in treating unruptured tubal pregnancy has good effect,it can effectively improve the clinical symptoms,reduce the gestational mass and levels of the blood β-HCG and progesterone,accelerate the symptoms subsided,shorten the treatment time,it is worthy of clinical promotion.