腹腔镜与中药结合保守治疗宫外孕

作者	单位
吴育宁	北京市中医医院
华苓	北京市中医医院
张福英	北京市中医医院
金延	北京市中医医院
张晓辉	北京市中医医院

摘要点击次数: 1438

全文下载次数: 996

中文摘要:

利用腹腔镜早期确诊，于异位妊娠局部注射小剂量氨甲喋呤，同时口服中药活络效灵丹为主方加减，配合外用定痛膏及子宫丸，即解决中药杀胚胎力量不足的缺，或，又充分发挥中药化瘀消，协助杀胚之长处。治疗组成功率（１００％）与中药组（７８．２６％）相比，有显著性差异（Ｐ＜０．０ｌ）。成功病例中两组相比，治疗组平均每日血ｈＣＧ下降快（Ｐ＜０．００５），平均腹痛消失时间及住院日缩短（Ｐ＜０．０１）。本疗法为最大限度保留生殖机能的新方法。

英文摘要:

cases of ectopic pregnancy have been treated conservatively by combining laparoscopy with TCM and all were successful. After confirmatory diagnosis was made under laparoscope low dose(5～15mg) of Methotrexate(MTX) was injected into tubal swelling, as well as taking modified Huo-Luo-Xiao-Ling Dan orally and using Ding-Tong paste and Zi-Gong pill externally, it not only improved the function of herbal medicine that was not potent enough to kill active embryo, but also gave full play of TCM which could remove stasis and masses by promoting blood circulation to assist in killing the embryo. The successful rate(100%) of combined therapy was significantly higher than that(78.2%) of control group(using TCM only,p<0.01). Comparing with the two groups in successful cases, the mean serum hCG concentrations per day of combined therapy lowered faster than that of control group(P<0.005), the mean time of abdominal pain disappearance and hospitalized period of combined group were shorter(P<0.01). In a word, this combined therapy is a simple and safe method which could preserve reproductive function to the maximum.

关闭