持续性异位妊娠15例诊治体会  

Experience of diagnosis and treatment of persistent ectopic pregnancy in 15 cases

作　　者：任秀蓉[1] 李傲霜[1] 万红芳[1] 

机构地区：[1]绵阳市人民医院妇科,四川绵阳621000

出　　处：《现代医药卫生》2010年第14期2115-2117,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨持续性异位妊娠(PEP)的诊断与治疗方法。方法:对本院收治的PEP 15例进行回顾性分析。结果:PEP发生于腹腔镜手术后有10例,发生于开腹手术5例,发生于输卵管切除术后3例,发生于保留输卵管后的有12例。结论:采取正确的预防措施是防治本病的关键,手术前后对发生PEP风险的评估是非常重要的,对术前绒毛膜促性腺激素(HCG)水平高或术中怀疑有滋养细胞残留者及时给药MTX(1 mg/kg,或50 mg/m2)或口服米非司酮,以及中药治疗,可以大大减少PEP的发生。Objective：To discuss the diagnosis and treatment of persistent ectopic pregnancy（PEP） in order to prevent and reduce the incidence of the disease.Methods：15 PEP patients were studied retrospectively from March 2005 to December 2009.Results：10 cases of PEP occurred after laparoscopic surgery,5 happened at laparotomy,3 cases after salpingectomy and 12 cases after conservative operation of tubal pregnancy.Conclusion：Taking proper preventive measures is the key to reduce the rate of PEP.It is important to assess the risk factors of PEP during perioperation.In the condition of high levels of preoperative hCG and suspecting residual trophoblastic,applying MTX（1 mg/kg,or 50 mg/m2） or mifepristone,as well as traditional Chinese medicine in time can greatly reduce the incidence of PEP.

关 键 词：持续性 异位妊娠 绒毛膜促性腺激素 MTX 米非司酮 中药 

分 类 号：R71[医药卫生—妇产科学]