·776·Doi:10.13621/j.1001-5949.2023.09.0776经阴道B超引导下胚胎减灭术联合MTX治疗在特殊类型异位妊娠中的应用宁夏医学杂志2023年9月第45卷第9期NingxiaMedJ,Sep.2023,Vol.45,No.9著··论哈灵侠,王金娟,杨海燕,赵君利，崔娥【摘要］目的探讨经阴道B超引导下胚胎减灭术联合氨甲蝶岭（MTX)在特殊类型异位妊娠中的临床应用价值。方法收集38例特殊类型异位妊娠患者，15例患者接受经阴道超声引导下减灭异位妊娠胚胎联合孕囊局部注射MTX治疗（A组）,23例患者接受保守手术治疗（B组）。回顾性分析2组患者的临床资料,并比较2种方法的治疗结局。结果A组13例治疗成功，成功率为86.67%;1例输卵管妊娠术后2d输卵管妊娠破裂急诊手术行输卵管切除术,1例输卵管妊娠术后3d因腹痛进行急诊手术,术中提示输卵管妊娠流产。2组患者术前HCG水平,术后1周HCG水平及治疗后HCG下降水平比较差异无统计学意义（P>0.05）。A组治疗费用明显低于B组（P<0.05）。结论经阴道超声引导下胚胎减灭术联合孕囊局部注射MTX是一种治疗特殊类型异位妊娠的行之有效的方法。【关键词］异位妊娠；经阴道B超引导下胚胎减灭术；氨甲蝶呤[中图分类号]R473.71ApplicationoftransvaginalB-ultrasoundguidedembryoreductioncombinedwithHALingxia,WANGJinjuan,YANGHaiyan,ZHAOJunli,CUIE.ReproductiveMedicineCenter,GeneralHospitalofNingxiaMedicalUniversity,Yinchuan750004,China[Abstract]ObjectiveToinvestigatetheclinicalapplicationvalueoftransvaginalultrasoundguidedembryoreductioncom-binedwithmethotrexate(MTX)inspecialtypesofectopicpregnancy.Methods38patientswithspecialtypesofectopicpregnancywerecollected,15patientsreceivedtransvaginalultrasoundguidedreductionofectopicpregnancyembryoscombinedwithlocalinjectionofMTXintothegestationalsac(GroupA),and23patientsreceivedconservativesurgicaltreatment(GroupB).Theclinicaldataofthetwogroupsofpatientswereretrospectivelyanalyzed,andthetreatmentoutcomesofthetwomethodswerecompared.ResultsInGroupA,13casesweretreatedsuccessfully,successrateof86.67%.Onecaseoftubalpregnancyunderwentemergencysurgeryfortubalpreg-nancyrupturetwodaysaftersurgery.Anothercaseunderwentemergencysurgeryfortubalpregnancythreedaysaftersurgeryduetoab-dominalpain,andthepatientwaspromptedtohaveamiscarriageoftu...
