【摘要】 目的 寻找早期输卵管妊娠的适宜保守治疗方法。方法 对90例早期输卵管妊娠患者进行临床观察，将90例患者随机分成3组，分别采用B超引导下局部注入甲氨蝶呤(MTX)、口服米非司酮及两者联合应用三种方法进行治疗，比较三种方法治疗效果。结果 三种方法治疗成功率分别为73.3%、70.0%、96.7%，联合用药组治疗成功率最高，与其他两组比较差异显著。结论 对输卵管妊娠的保守治疗，MTX局部注入及口服米非司酮疗效相当，口服米非司酮治疗更适合基层医院应用，两者联合应用疗效最为显著。

    【关键词】 妊娠，输卵管；甲氨蝶呤；米非司酮；药物疗法

    Three kinds of conservative treatment for tubal pregnancy

    ZHANG Xiao-qin，LONG Min-dan，LAO Hai-tao.Maternity & Child Care Hospital，Wuchuan 524500，China

    【Abstract】 Objective To find out the best conservative way to cure early tubal pregnancy.Methods Ninety patients with early tubal pregnancy were divided into 3 groups at random and administrated B-ultrasound-assisted methotrexate injection，oral mifepristone and combination therapy respectively.The clinical effects were observed and compared.Results The successful rate of 3 groups were 73.3% ......