异位妊娠诊断与治疗方法的10年变化分析  

Diagnosis and treatment of ectopic pregnancy:An analysis of changes in 10 years

作　　者：刁俊春[1] 丁晓芳[1] 

机构地区：[1]安徽省巢湖市第一人民医院妇产科,238000

出　　处：《淮海医药》2012年第5期399-400,共2页Journal of Huaihai Medicine

摘　　要：目的分析异位妊娠诊断与治疗方法 10年的变化。方法将1999年1月～2001年12月和2009年1月～2011年12月入院确诊的异位妊娠患者分成2组,回顾性分析10年间2组患者诊断与治疗方法的变化。结果诊断方法的变化:急诊入院、晕厥或休克及腹腔内出血比例减少,超声检查阳性比例升高。治疗方法的变化:剖腹探查切除输卵管手术减少,腹腔镜下切除输卵管手术及药物保守治疗增加。结论 10年间异位妊娠诊断准确率不断提高,治疗方法可根据患者具体情况采取多元化,以腹腔镜治疗及药物保守治疗较多,尽量做到早发现、早治疗,并加强妇女保健知识的普及,减少异位妊娠的发生。Objective To explore changes in diagnosis and treatment of ectopic pregnancy in ten years. Methods Hospi- talized ectopic pregnancy patients from January 1999 to December 2001 and January 2009 to December 2011 in Chaohu First People Hospital were divided into two groups （ group Ⅰ and group Ⅱ）. Retrospective analysis was conducted in terms of chan- ges in diagnosis and treatment. Results Changes in diagnostic methods ： the rate of hospital emergency, syncope or shock and abdominal bleeding reduced. The positive rate in ultrasound examination increased. Changes in treatment ：laparosalpingeetomy was less adopted, while laparoseopy-assisted resection fallopian tube surgery combined with drug therapy increased. Conclu- sion The accuracy rate of eetopic pregnancy diagnosis continuously improved in a period of 10 years. Treatment methods can be varied according to specific circumstances of patients. Laparoseopie treatment combined with conservative drug therapy is commonly seen. Early diagnosis and treatment is strongly recommended. It is important to popularize the knowledge of women＇s health care and reduce the occurrence of ectopic pregnancy.

关 键 词：妊娠 异位 诊断 治疗 变化分析 

分 类 号：R714.22[医药卫生—妇产科学]