【摘要】 目的:探讨宫颈妊娠的病因、诊断及治疗。方法:分析四川省人民医院2005年1月至2010年12月收治的14例宫颈妊娠的临床资料。A组(7例)给予甲氨蝶呤20mg,im,qd,且给药4次后进行刮宫;B组(7例)用甲氨蝶呤50mg单次大剂量肌注后刮宫。结果:行甲氨蝶呤多次小量和单次大量注射的两组保守治疗成功率和化疗反应发生率差异无统计学意义。总成功率为78.57%,其中有3例行全子宫切除术。结论:①宫颈妊娠的治疗结局与早期诊断有关。②超声对诊断有重要意义。③甲氨蝶呤多次小量和单次大量保守治疗后的患者值得进行刮宫治疗。更多还原

【Abstract】 Objective:To discuss the reasons,diagnosis and treatment of cervical pregnancy.Methods:To analyze the clinical data of 14 patients with cervical pregnancy.Before uterine curettage,7 cases were injected 20mg methotrexate once a day for 4 days,and 7 cases were injected 50mg methotrexate once.Results:The success rates and occurrence rates of chemotherapy side effects between two groups showed no stastical difference(p>0.05). Conclusions:Ultrasonography plays an important role in the early diagnosis of cervical pregnancy.The two uses of methotrexate can be recommended.更多还原