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110例输卵管妊娠不同治疗方法的疗效分析
刘久英,马 刚,王 琳
430040 湖北,武汉市东西湖区人民医院妇产科(刘久英);530021 南宁,广西壮族自治区人民医院(马 刚,王 琳)
摘要:
[摘要] 目的 探讨输卵管妊娠的合理治疗方法以及预后因素。方法 回顾性分析2007-08~2009-01武汉市东西湖区人民医院收治的110例输卵管妊娠病例,按治疗方法分为中药组、保守性手术组及根治性手术组,比较三组治疗后宫内妊娠率、再次异位妊娠率情况。结果 中药组、保守性手术组、根治性手术组宫内妊娠率分别为16%、47.83%、10.87%,差异有统计学显著意义(P<0.05),三组再次异位妊娠率差异无统计学意义(P>0.05)。结论 对年轻有生育要求者宜行保守性手术,对病情危急、包块较大、无生育要求者可行根治性手术,对生命征稳定、能较长时间住院及有随访条件者,可行中药保守治疗。
关键词:  异位妊娠  治疗  预后
DOI:10.3969/j.issn.1674-3806.2009.10.11
分类号:R 714.22
基金项目:
Analysis of therapeutic effects of 110 cases of tubal pregnancy
LIU Jiu-ying, MA Gang, Wang Lin
Department of Obstetrics and Gynecology, the People′s Hospital of Dongxihu, Wuhan 430040, China
Abstract:
[Abstract] Objective To investigate the rational therapy in treatment of tubal pregnancy.Methods Data of 110 cases with tubal pregnancy from August 2007 to January 2009 were studied retrospectively. Three treatment methods were given included Chinese medicinal herbs, conservative surgery and radical surgery.Results Intrauterine pregnant rate was16%, 47.83%, 10.87% in medicine therapy, conservative surgery, and radical surgery, respectively, which significant difference among three groups. Recurrent ectopic pregnant rate among three groups was no statistically significant.Conclusion Conservative surgery is suitable for the young women who hope to preserve fertility; radical surgery is suitable for the women who have no hope to preserve fertility or with bulky lesion; Chinese medicinal herbs has no trauma and is cheap and has a long follow-up.
Key words:  Ectopic pregnancy  Treatment  Prognosis