异位妊娠300例诊治分析

Diagnosis and treatment of ectopic pregnancy in 300 cases

目的：探讨异位妊娠的有效诊断及治疗方法。方法：采用回顾性分析的方法，对300例异位妊娠患者的临床资料进行分析。结果：超声检查后行血HCG测定，其漏诊率最低。300例患者中，手术治疗270例，药物保守治疗22例，期待疗法8例，住院时间4～5d，均痊愈出院。结论：随着诊断技术与治疗技术进步，异位妊娠的治愈率明显提高。

Objective： To investigate effective diagnosis and treatment methods of ectopic pregnancy. Methods： Documentary of 300 patients with ectopic pregnancy were studied retrospectively. Results： Of the diagnosis, combined primary ultrasound examination and ensued HCG determination could markedly reduce missed diagnosis. Of the treatment, 270 cases underwent surgery, 22 cases underwent conservative treatment with drugs, 8 cases underwent expectant management; they were all cured and discharged, the hospitalization time was 4- 5 days. Conclusion ： Combined ultrasound and laboratory examination of HCG may acquire aeurate diagnosis for ectopic pregnancy, the treatment methods may accord with high. different conditions of ectopic pregnancy, the cured rate is high.