保守性手术和药物治疗输卵管妊娠分析  

Analysis of conservative surgery and drug treatment tubal pregnancy.

作　　者：韩晓彬[1] 

机构地区：[1]四川南充市第四人民医院,637000

出　　处：《中国医药指南》2008年第17期205-206,共2页Guide of China Medicine

摘　　要：目的探讨不同保守性方式治疗输卵管妊娠的血B-HCG下降幅度及妊娠结局方法回顾性分析保守性治疗输卵管妊娠322例,其中药物治疗组90例(A组),保守性手术治疗组232例(B组),治疗后定期监测血B-HCG下降幅度及宫内妊娠率、再次异位妊娠率。结果A组血B-HCG降至正常时间为19.9±6.17天,B组血B-HCG降至正常时间为10.68±5.90天;A组宫内妊娠率为45%,B组宫内妊娠率为67.3%;B组6例发生持续性异位妊娠,均为输卵管伞端胚囊挤出术。结论监测血B-HCG是判断保守治疗成功的指标,保守性手术具有术后宫内妊娠率高的优点,是保守治疗的首选,但应尽量避免行输卵管伞端胚囊挤出术.Objective Analysis different ways of conservative treatment of tubal pregnancy blood B-HCG and the decline in pregnancy outcome. Methods Retrospective analysis of the conservative methods of treatment of 322 cases of tubal pregnancy,of which 90 cases of drug treatment (Group A),the conservative treatment group 232 cases (Group B)regular monitoring of blood after treatment B-HCG and intrauterine pregnancy rate dropped,Re-ectopic pregnancy rate.Results The two group B-HCG and intrauterine pregnancy rate has dropped significantly different,re-ectopic pregnancy rate no significant differences

关 键 词：输卵管妊娠 药物 手术 血B-HCG 宫内妊娠率 持续性异位妊娠 

分 类 号：R714.22[医药卫生—妇产科学]