异位妊娠200例临床分析

Clinical snalysis of ectopic pregnancy in 200 cases

目的通过对200例异位妊娠患者的临床观察研究,寻求治疗异位妊娠最有效的方法。方法选取2010年1月～2011年12月在本院接受治疗的200例异位妊娠患者,根据患者的自身体征和生育情况进行药物、手术等方法的研究分析。结果通过期待治疗、药物治疗和手术治疗后,期待疗法治疗66例,成功38例,采用腹腔镜手术28例;药物治疗67例,成功48例,采用腹腔镜手术19例;手术治疗的有67例,成功57例,有10例患者在术后3d经诊断血β-HCG下降幅度较低,可能会发生持续性异位妊娠,使用甲氨蝶呤治疗方法杀胚,6d后恢复正常。手术治疗中使用腹腔镜手术治疗是异位妊娠治疗中最常用的方法。结论经过对异位妊娠患者治疗方法效果的研究发现,使用腹腔镜手术治疗成功率高,伤口创伤小,患者术后恢复时间快,生育功能得到保留,值得在临床上的推广使用。

Objective To seek the most appropriate method to treat ectopic pregnancy through clinical observation and analysis of 200 cases of ectopic pregnancy. Methods Two hundred patients with ectopic pregnancy treated in our hospital from January 2010 to December 2012 were chosen and analyzed of medications and of surgery approaches condition due to their physical signs and fertility condition. Results Expectant management, drug therapy and surgery were adopted. 66 cases went expectant therapy in which 38 cases succeeded and 28 cases adopted laparoscopie surgery. 67 cases went drug therapy in which 48 cases succeeded and 19 cases adopted laparoscopic surgery. 67 cases went surgery in which 57 cases succeeded. 10 patients had lower β-HCG level than normal 3 days after surgery with the risk of persistent ectopic pregnancy. Methotrexate treatment was used to kill the embryo and 6 days later β-HCG level of these patients returned to normal. Laparoseopic surgery is the most common approach in surgery treatment to ectopic pregnancy. Conclusion It find out laparoseopic surgery has high success rate with little trauma, fast recovery time and sound preservation of reproductive function through analysis of different approaches to treat ectopic pregnancy, it is worthy of clinical application.