保守性手术和药物治疗输卵管妊娠对比分析

【目的】探讨分析不同保守性方式治疗输卵管妊娠的血β-hCG下降幅度及妊娠结局。【方法】将我院2006年1月-2010年1月行保守性治疗的输卵管妊娠323例分为手术保守治疗组(A组)157例和药物保守治疗组(B组)166例,两组治疗后定期监测血β-hCG下降幅度及宫内妊娠率、再次异位妊娠率、PEP等。【结果】A组血β-hCG降至正常平均时间为13 d,明显短于B组25 d,A组宫内妊娠率平均为69.43%,明显高于B组50.60%(P<0.05),两组比较有显著性差异。【结论】输卵管妊娠行保守手术治疗较药物保守治疗后宫内妊娠率高,保守手术中注意术式选择,术后要注意持续性异位妊娠的防治。

Analysis of conservative surgery and drug treatment for tubal pregnancy

[Objective] To analyse the blood β -hCG dechne and pregnancy results in different ways of conservative treatments for tubal pregnancy. [Methods] Between January 2006 and 2010 ,our hospital had run 323 cases of conservative treatment of tubal pregnancy including 157 cases in conservative surgery treatment （group A） and 166 cases with drug treatment （group B）, both group were taken regular blood 13 -hCG decline monitoring and intrauterine pregnancy rate and Re-ectopic pregnancy rate after treatment. [Results] The time of blood 13 -hCG decline to normal level in group A is 13 days ,much shorter than group B （25 days）. The intrauterine pregnancy rate of group is 69.43%, much higher than group B 50.60% （P 〈 0.05） in statistics, it means the two treatments have significant difference [Conclusion] Analyzing the two conservative treatments of tubal pregnancy, the surgery has a higher intrauterine pregnancy rate than drug treatment. In surgery treatment we need choose the method carefully and monitor the Re-ectopic pregnancy frequently.