输卵管间质部妊娠治疗方式选择的Meta分析  

Meta Analysis for the Treatment of Interstitial Pregnancy in the Fallopian Tube

作　　者：时培景[1] 刘淑香[1] SHI Peijing LIU Shuxiang(Gynecology Department, The Third ttospital of Ji ＂nan, Ji ＇nan Shandong 250132, China)

机构地区：[1]山东省济南市第三人民医院妇科,山东济南250132

出　　处：《中国继续医学教育》2017年第9期116-117,共2页China Continuing Medical Education

摘　　要：目的比较输卵管间质部妊娠不同治疗方式的远期预后。方法将"输卵管间质部妊娠治疗"的相关文献经筛选后纳入研究,并行Meta分析。结果 "输卵管取胚术"与"输卵管切除术"在足月分娩率、"输卵管取胚术+药物"与"输卵管取胚术"在持续性宫外孕、再次妊娠子宫破裂率及足月分娩率、"输卵管取胚术+药物+动脉阻断法"与"输卵管取胚术+动脉阻断法"在持续性宫外孕及足月分娩率差异均有统计学意义(P<0.05)。结论 "输卵管取胚术+药物"能有效治疗输卵管间质部妊娠,适合有生育要求和对健康更高要求的患者。Objective To compare the long-term prognosis of tubal interstitial pregnancy with different treatment modalities. Methods The relevant literatures on treatment of tubal interstitial pregnancy were selected and included in the study. Parallel Meta analysis was perlbrmed. Results ＂Tubal embryo surgery＂ and ＂tubal resection＂ in full-tern1 delivery rate, tubal embryo surgery was ＋ drug ＂and＂ tubal embryo surgery was in persistent ectopic pregnancy, pregnancy rate of uterine rupture and full- term delivery rate, embryo surgery ＋ drug ＋ thllopian tube uterine artery occlusion and removing embryo arterial occlusion in the surgery and persistent ectopic pregnancy and thll-term delivery rate were significantly different （P〈0.05）. Conclusion ＂Tubal embryo surgery ＋ drugs ＂＇can be effective in the treatment of interstitial tubal pregnancy, suitable for fertility requirements and higher requirements on the health of patients.

关 键 词：间质部妊娠 宫外孕 META分析 

分 类 号：R713[医药卫生—妇产科学]