[Conservative therapy of combining laparoscopy and Chinese medicine for ectopic pregnancy].
44 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.
Wu
Y N
YN
Beijing Hospital, TCM.
Hua
L
L
Zhang
F Y
FY
D000328:Adult; D006063:Chorionic Gonadotropin / Q000097:blood; D004359:Drug Therapy, Combination; D004365:Drugs, Chinese Herbal / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D010535:Laparoscopy; D008727:Methotrexate / Q000008:administration & dosage*; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000097:blood / Q000188:drug therapy*
D006063:Chorionic Gonadotropin; D004365:Drugs, Chinese Herbal; D008727:Methotrexate