药物保守治疗与保守手术对异位妊娠疗效比较.docVIP

药物保守治疗与保守手术对异位妊娠疗效比较 　　【摘 要】目的：对比观察药物保守治疗与保守手术两种方法治疗异位妊娠的临床疗效。方法：将我院妇科2010年7月至2012年1月收治的117例异位妊娠患者，随机分为药物保守治疗组与保守手术组进行临床治疗。比较两组住院时间、术后β-HCG降至正常的时间、输卵管通畅率、再次宫内妊娠率及再次异位妊娠率。结果：全部61例保守手术患者均顺利完成腹腔镜手术，无中转开腹者；药物保守治疗组56例中，52例治愈，4例治疗失败后转手术治疗。保守治疗组住院时间和血β-HCG值均显著低于药物保守治疗组（P0.05））结论：保守手术治疗异位妊娠效果好，是一种可信赖地方法，值得推广。 　　【关键词】药物；保守手术；异位妊娠 　　【中图分类号】R714 【文献标识码】A 【文章编号】1004-7484（2013）05-0017-02 　　The Comparison of therapeutic effect between medicin treatment and conservative surgery which are for ectopic pregnancy 　　LU Jing1， WU Cheng-yongi2， ZHANG Lan3， WANG Lin4， LU Ping5 　　（Department of Gynecology， Xinjing Uighur Autonomous Region Pepole Hospital， Xinjing 830001，China） 　　【ABSTRACT】Objective： To compare the therapeutic effect of drug treatment and conservative surgery for ectopic pregnancy. Methods： There were 117 patients of ectopic pregnancy who were treated in Gynecology Department of People’s Hospital in Xin Jiang Uygur Autonomous Region from Juny 2010 to January 2012. Patients were separated into drug treatment group and conservative surgery group randomly. The length of hospital stay and blood’s β-HCG of conservative surgery， the fallopian tube patency rate and conception rate were observed and compared. Results： All the operations for the 61 cases were performed under laparoscope， There was no conversion. 52 cases in drug treatment group were cured，4 cases were treatment failure turn to operate. （1） The Hospital stay and blood’s β-HCG of conservative surgery group were significantly lower than that in medicine treatment group（P0.05）.Conclusion： Conservative surgery for ectopic pregnancy has better therapeutic effect than drug treatment. It is a reliable treatment and worthy of promotion. 　　【Key words】drug ； conservative surgery； ectopic pregnancy. 　　在妇产科临床工作中，异位妊娠是最常见的急腹症??一。随着高敏感度的放射免疫检测血清β-HCG、经阴道彩色多普勒等检验、检查技术的普遍推广应用，使异位妊娠在早期就能得到诊断，为保守治疗提供了条件，尤其对于有生育要求的年轻女性。保守治疗在临床上主要有药物保守治疗与手术保守治疗，本研究对这两种方法治疗异位妊娠的临床疗效进行对比分析，现报道如下： 　　1 资料与方法 　　1.1一般资料 　　将我院妇科2010年7月至2012年1月收治的1