2种不同方式治疗异位妊娠150例临床分析

Clinical Analysis of 150 Cases with Ectopic Pregnancy Treated by Two Different Methods

目的探讨异位妊娠行根治性手术治疗和药物保守治疗的临床效果。方法回顾性分析异位妊娠住院治疗病例，接药物保守治疗及根治性手术治疗两种不同治疗方式分组，比较其宫内妊娠率、再次异位妊娠率、住院天数及住院费用。结果两组的宫内妊娠率及再次异位妊娠率比较差异无统计学意义（P〉0．05），药物组住院时间长但费用低。结论虽然药物治疗的住院时间长，但其宫内妊娠率及再次异位妊娠率与手术组比较差异无显著性，而且具有费用低廉及无创伤性的优点更为广大患者尤其是有生育要求的患者所接受。

Objective To debate the clinical effect between radical surgery and conservative medicine therapy on ectopic pregnancy. Methods Retrospective analysis was carried out in the cases hospitalized for ectopic pregnancy,which was grouped according to radical surgery and conservative medicine therapy. Their intrauterine gestation rate, re-ectopic pregnancy, hospital day and cost of hospitalization were compared between these two groups. Results There was no significant difference between intrauterine pregnancy rate and re-ectopic pregnancy rate （ P 〉 0.05 ）, while as conservative medicine therapy on ectopic pregnancy had long time of hospitalization, but it was cheap. Conclusions There was no difference between drug treatment group and operative group about their intrauterine pregnancy rate and re -ectopic pregnancy rate,although the drug group had long hospital time. Its advantages including low expense and noninvasive is more acceptable to patients, especially patients having requirement of bearing.