Clinical diagnosis and treatment of ectopic pregnancy.docVIP

 PAGE \* MERGEFORMAT 15 Clinical diagnosis and treatment of ectopic pregnancy [Abstract] HCG levels through continuous measurement and the application of intracardiac echocardiography, about 80% of ectopic pregnancy can not be broken before the early diagnosis of atypical clinical symptoms is more important. To preserve the fertility of patients required to provide an opportunity such as the contralateral fallopian tube had been removed or have significant lesions, may be preferred methotrexate (MTX) Img/m2 single intramuscular injection, the joint taking mifepristone (Ru486) 100mg / d of 2 days, the assembly power 89%. ostomy tube linear incision (fenestration), especially under the laparoscopy, diagnosis and treatment can melt into one, and timely, accurate, safe and easy, rapid postoperative recovery, fewer pelvic adhesions, recommended. [Keywords:] diagnosis and treatment of ectopic pregnancy In 2000 our hospital started using laparoscopy for diagnosis and treatment. For early unruptured ectopic pregnancy with methotrexate or a single intramuscular injection of progesterone capsule, the joint taking mifepristone treatment. Now our hospital from 2000 In January ~ December 2002 251 cases of ectopic pregnancy admitted patient data analysis, the results reported below. 1 Clinical data 1.1 General Information January 2000 ~ December 2002 in our hospital 251 cases of ectopic pregnancy. Conventional surgery (laparotomy check) 94 cases of laparoscopic surgery 130 cases of conservative treatment in 27 cases. An average of 31.71 years (20 to 46 years) , first pregnancy in 29 cases, not maternal in 67 cases, by the maternal 155 cases of pregnancies 0 ~ 9 times, parity 0 to 5 times, up to 7 times the number of flow, of which the history of single flow of 1 to 3 times in 21 cases. History of the group, 224 cases of postmenopausal (89.24 9 / 6), 239 cases of vaginal bleeding (95.22 9 / 6), 11 cases had history of shock and syncope (4.38%