异位妊娠保守治疗的相关因素探讨  

Study on Related Factors Leading to Successful Treatment of Ectopic Pregnancy by Conservative Therapy

作　　者：张勇[1] 窦洪涛[1] 鲁春 

机构地区：[1]山东淄博市中心医院妇产科,淄博255036 [2]山东淄博市第七人民医院妇产科,淄博255036

出　　处：《国际中医中药杂志》2009年第3期244-245,共2页International Journal of Traditional Chinese Medicine

摘　　要：目的 对异位妊娠保守治疗的相关因素进行分析，探讨其治疗成功病例的重要性。方法 将152例行保守治疗的异位妊娠患者随机分为氨甲喋呤加中药组、5-氟尿嘧啶加中药组和纯中药组，观察各组的治疗成功率及副作用，并对比治疗条件与成功率的关系。结果 各组治疗成功率比较无统计学意义，纯中药组副作用少。在包块〈3cm、血β-hOG水平〈10001U／L、后穹窿积液深度〈1cm三个治疗条件中，同时具备两个或以上者，治疗成功率较高。结论 在异位妊娠的保守治疗中，纯中药治疗副作用少，充分评估治疗条件可显著提高成功率。Objective To analyze the related factors leading to successful treatment of ectopic pregnancy by conservative therapy and to explore importance of this therapy. Methods 152 patients with ectopic pregnancy performed with conservative treatment were randomly recruited into a methotrexate plus Chinese medicine group, a 5-fluorouracil plus Chinese medicine group and a exclusive Chinese medicine group. The curative rate and side effect were observed in groups, and the relation between the treatment condition and the curative rate was analyzed. Results There was no difference in curative rate among groups, while the side effect in the exclusive Chinese medicine group was lower than other groups. It showed high curative rate in patients with two or more conditions of having mass less than 3 cm, the level of bloodβ-hCG less than 1000 IU/L, and the depth of posterior fornix effusion less than 1 cm. Conduslon Among the treatments of ectopic pregnancy, Chinese medicine has fewer side effects. Fully evaluation on the treatment condition can improve the curative rate.

关 键 词：异位妊娠 保守治疗 临床 疗效 

分 类 号：R714.22[医药卫生—妇产科学] R979.1[医药卫生—临床医学]