异位妊娠保守治疗的临床运用.pdf

异位妊娠保守治疗的临床运用 江苏省南京市妇幼保健院 徐文健，江源，鲁景元 摘要 cases) , chemother apy(group C 55 cases) according to the treatment procedure in clinic . Comp are the 目的 探讨异位妊娠介入治疗、腹腔镜保守手术 serum β-human chorionic gonadotropin ( β-HCG) 治疗和化学药物保守治疗临床运用的差异。 concentrations before treatment , the size of the pelvic 方法 164例已治愈患者根据治疗方法分介入治疗 mass , pelvid haemorrhage , the fetal cardiac activity (A组) 、腹腔镜保守手术治疗(B组) 、化学药物保守治 is appeared or not , the average incharge days and the 疗(C组)进行比较,分别观察术前血清 β-HCG 、术前盆 cost , then the result of reopen condition of the diseased 腔包块径线、有无胎心搏动和盆腔出血情况、平均住 fallopian by hysterosalpingography(HSG) after three 院天数和费用、术后患侧输卵管通畅情况。 months of treatment . 结果 Ａ组术前平均血清 β-HCG较后两组高( Ｐ 0 .0 1) ，B组其次 ，C组最低 ；术前盆腔包块径线A Result : β-HCG concentrations( Ｐ0 .0 1) and pelvic 组最大( Ｐ0 .05) ，B组其次 ，C组最小 ；Ａ组术前盆 mass size( Ｐ0 .05) of group A are the highest and the 腔包块内有19例见胎心搏动 ，16例有后穹隆积液 ， biggest , these two signs of group B are in the middle , 后两组均未见胎心搏动与积液 ；B 组住院天数最短 group C got the lowest number among these three groups; ( Ｐ0 .0 1) ，A 组、C组最长 ；C组治疗费用最低( Ｐ 19 cases had fetal cardic activety and 16 cases had pelvic 0 .0 1) ，B组其次，A组最高；术后三个月子宫输卵管 haemorrhage sign in group A , but no such case in group 造影 （Hysterosalpingoraphy ，HSG ），A组患侧输卵 B and group C; the average incharge days of group B is 管通畅率最高( Ｐ0 .05) ，B组其次，C组最低。 the shortest( Ｐ0 .0 1) in the three groups and the cost o