近10年异位妊娠诊断及治疗的变化——附1970例分析

目的 探讨近１０年异位妊娠发生率及诊断治疗方法的变化。方法 按每２年为１个时间段回顾分析我院１９８７年１月至１９９６年１２月间１９７０例异位妊娠的诊治情况。结果 ⑴异位妊娠与同期分娩数之比由１９８７至１９８８年１．０“４２．４上升为１９９５至１９９６年的１．０：６．６。⑵诊断技术有改进，剖腹探查的比例下降，而经电视腹腔镜、超声结合血、尿绒毛膜促性腺激素（β－ｈＣＧ）检测确诊者增多。确诊时间缩短，１

Advances in Diagnosis and Treatment of Ectopic Pregnancy during the Past Ten Years

OBJECTIVE: To investigate the changes of diagnosis and treatment of ectopic pregnancy (EP) during the past ten years. METHODS: Medical records of 1,970 cases with EP seen in our hospital from Jan. 1987 to Dec. 1996 were collected and analyzed retrospectively. RESULTS: (1) The incidence of EP increases from 1.0 per 42.4 labours during 1987-1988 to 1.0 per 6.6 labours in 1995-1996. (2) Diagnosis was confirmed more by television laparoscopy, transvaginal ultrasonography and sensitive human chorionic gonadotropin-beta subunit assay rather than loparotomy and with a shorter period, (6.5 +/- 0.7) days in 1987-1988 versus (3.7 +/- 0.2) days in 1995-1996. (3) The choice of treatment was more conservative or through laparoscopic surgery than abdominal salpingectomy. (4) The success rate of conservative surgery expectant management reached 100.0% and medical treatment with a variety of choices around 80.0%-85.%. CONCLUSIONS: Although the incidence of EP increased, with the improvement of diagnostic approaches, patients were detected at an earlier stage and possible to be treated more conservatively.