| 超声引导下局部注射甲氨蝶呤治疗异位妊娠的临床应用 |
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| 引用本文： | 姬宏娟汪龙霞,王军燕徐虹高学文林倩周春艳.超声引导下局部注射甲氨蝶呤治疗异位妊娠的临床应用[J].现代生物医学进展,2012,12(3):476-478. |
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| 作者姓名： | 姬宏娟汪龙霞 王军燕徐虹高学文林倩周春艳 |
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| 作者单位： | 解放军总医院超声科 北京100853 |
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| 摘 要： | 目的:探讨超声引导下局部注射甲氨蝶呤(MTX)治疗异位妊娠的疗效。方法:对30例异位妊娠患者在超声引导下行MTX病灶局部注射,术后给予米非司酮口服(25mg,2次/天,共3天)。治疗前及治疗后每周一次抽血查β-hCG直至其降至正常范围内。结果:30例患者中,29例(96.7%)通过治疗后β-hCG降至正常,1例(3.3%)治疗失败后行外科手术。结论:超声引导下MTX局部注射治疗异位妊娠技术操作简单,疗效肯定,对适应范围内的病人是值得考虑的治疗方法。
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| 关 键 词： | 超声引导 异位妊娠 甲氨蝶呤 局部注射 |
The Clinical Application of Ultrasound-Guided Methotrexate Injection
in Patients with Ectopic Pregnancy |
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| JI Hong-juan,WANG Long-xi,WANG Jun-yan,XU Hong,GAO Xue-wen,LIN Qian,ZHOU Chun-Yan.The Clinical Application of Ultrasound-Guided Methotrexate Injection
in Patients with Ectopic Pregnancy[J].Progress in Modern Biomedicine,2012,12(3):476-478. |
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| Authors: | JI Hong-juan WANG Long-xi WANG Jun-yan XU Hong GAO Xue-wen LIN Qian ZHOU Chun-Yan |
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| Institution: | (Department of Ultrasound,Chinese PLA General Hospital,Beijing 100853,China) |
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| Abstract: | Objective: To evaluate the efficacy and safety of methotrexate(MTX) injection for ectopic pregnancy under ultrasound-guidance.Methods: 30 patients with ectopic pregnancy were treated with MTX injection under ultrasound-guidance followed by administration of mifepristone for 3 days(25mg,bid).Serum level of β-hCG was tested before treatment and then once a week after MTX injection.Results: 2-12weeks after MTX injection,β-hCG turned to be negative in 29 patients(96.7%).1 patient(3.3%) received operation because of the rupture lesion.Conclusion: Within considerable indication,MTX injection under ultrasound-guidance is effective and safe for patients with ectopic pregnancy. |
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| Keywords: | Ultrasound-guidance Ectopic pregnancy Methotrexate Local injection |
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