不同的保守治疗方案治疗输卵管妊娠的效果研究

目的：探讨不同的保守治疗方案治疗输卵管妊娠的临床效果。方法：回顾性分析2005年1月至2006年1月间在我院采用不同的保守治疗方案的输卵管妊娠患者84例,总结分析药物保守治疗组和开腹保守治疗组的治疗效果。结果：开腹组患者HCG降至正常时间明显短于药物组,两者比较差异具有统计学意义（P〈0.05）。开腹组患者HCG以及β-HCG下降幅度明显大于药物组,两者比较差异具有统计学意义（P〈0.05）。开腹组患者输卵管通畅率和宫内妊娠率明显高于药物治疗组,两者比较差异具有统计学意义（P〈0.05）。开腹组患者再次异位妊娠率与药物组比较差异无统计学意义（P〉0.05）。结论：药物保守治疗应严格选择病例,而开腹手术因具有更高的宫内妊娠率,疗效好于药物保守治疗措施。

Analysis on Curative Effect of Different Expectant Treatment Regimen on Fallopian Pregnancy

Objective： To investigate the clinical effect of different expectant treatment regimen on fallopian pregnancy. Method： 84 cases with fallopian pregnancy who received different expectant treatment regimen in our hospital from January in 2005 to January in 2006 were analysed retrospectively to summarize the clinical effect about drug expectant treatment group and laparotomy expectant treatment group. Result： The time of HCG decreasing to normal level about laparotomy expectant treatment group was shorter than that of drug expectant treatment group, and there was significant difference between them （ P 〈 0.05 ）. The decreasing extent of HCG and J3 - HCG about laparotomy expectant treatment group was wider than that of drug expectant treatment group, and there was significant difference between them （ P 〈 0.05 ）. The patency rate of uterine tube and intrauterine gestation rate about laparotomy expectant treatment group was higher than that of drug expectant treatment group , and there was significant difference between them （ P 〈 0.05 ）. There was no significant difference on eccyesis rate between drug expectant treatment group and laparotomy expectant treatment group （ P 〉 0.05 ）. Conclusion： The cases must be choosed strictly on laparotomy expectant treatment. The rate of intrauterine gestation in laparotomy expectant treatment regimen is higher and curative effect is better than that of drug expectant treatment regimen.