输卵管妊娠保守治疗方法探讨.docVIP

输卵管妊娠保守治疗方法探讨 　　[摘要]目的 探讨输卵管妊娠的保守治疗方法。方法 选取本院2006年1月～2014年12月收治的90例未破裂和未流产型输卵管妊娠患者作为研究对象，随机分为试验组、腹腔镜手术组和药物保守治疗组，各30例。试验组采用孕囊穿刺注药法配伍中药口服治疗，腹腔镜手术组采用腹腔镜保守手术治疗，药物保守治疗组采用药物保守治疗。比较三组的治愈率、β-绒毛膜促性腺激素（β-HCG）降至正常时间、异位包块消失时间、患侧输卵管通畅率、治疗费用。结果 试验组、腹腔镜手术组、药物保守治疗组的治愈率分别为100%、100%、90%。试验组与腹腔镜手术组的血β-HCG下降至正常时间显著短于药物保守治疗组，差异有统计学意义（P0.05）。腹腔镜手术组的异位包块消失时间短于试验组及药物保守治疗组，差异有统计学意义（P0.05）。腹腔镜手术组的治疗费用高于试验组和药物保守治疗组，差异有统计学意义（P0.05）。结论 孕囊穿刺抽吸注药配伍中药治疗未破裂和未流产型输卵管妊娠患者的杀胚效果明显，能明显缩短包块消失时间，提高患侧输卵管通畅率，治疗费用低，对有生育要求未破裂及未流产型的输卵管妊娠患者意义重大。 　　[关键词]输卵管妊娠；孕囊穿刺注药；中药保守治疗；腹腔镜保守手术 　　[中图分类号] R714.22+1 [文献标识码] A [文章编号] 1674-4721（2016）09（b）-0061-03 　　[Abstract]Objective To explore the conservative treatment method of tubal pregnancy.Methods 90 patients with unruptured and no abortion tubal pregnancy from January 2006 to December 2014 in our hospital were selected and randomly divided into the experimental group，the laparoscopic surgery group and the drug conservative treatment group，30 cases in each group.The experimental group was treated with gestational sac puncture and injection of medicine method combined with oral traditional Chinese medicine，the laparoscopic surgery group was treated with laparoscopic surgery，the drug conservative treatment group was treated with drug conservative treatment.The cure rate，the time of β-HCG decreased to the normal，the disappearance time of ectopic mass，the tubal patency rate of the affected side，the cost of treatment among three groups was compared respectively.Results The cure rates of the three groups were 100%，100% and 90% in the experimental group，the laparoscopic surgery group and the drug conservative treatment group.The time of β-HCG decreased to the normal in the experimental group and the laparoscopic surgery group was shorter than that in the drug conservative treatment group，with significant difference （P0.05）.The disappearance time of ectopic mass in the laparoscopic surgery group was shorter than that in the experimental group and the drug conservative trea