异位妊娠的三种不同治疗方法比较分析

Comparative analysis of three different treatment ways of ectopic pregnancy

目的:对比观察异位妊娠的三种不同治疗方法各自的优点。方法:分析110例行药物保守治疗和保守性手术治疗的有生育要求的异位妊娠患者,其中保守性药物治疗组35例,腹腔镜手术治疗组35例,开腹手术治疗组40例。观察比较三组患者治疗后的有效率、住院时间、住院费用、输卵管复通情况、血β-HCG水平及出院后一年内宫内妊娠率。结果:手术治疗组患者疗效明显优于药物治疗组;腹腔镜治疗组患者住院时间最短,住院费用最高;而药物治疗组患者住院时间最长,费用最低;三组患者治疗后一年内再次妊娠率与异位妊娠发生率未见明显差异。结论:异位妊娠的治疗方式各有利弊,还需根据患者的情况和病情,选择最适合自身的治疗方法。

Objective：To observe and compare the advantages of three different treatment ways of ectopic pregnancy.Methods：110 ectopic pregnancy patients,who had fertility requirements and accepted conservative medical or surgical treatment,were selected and divided into conservative medical treatment group（35 cases）,laparoscopic surgery treatment group（35 cases）,open surgery treatment group（40 cases）.The effective rates,hospitalization time,hospitalization expense,tubal repatancy status,blood HCG levels,and intrauterine pregnancy rate within one year after hospital discharge of the three groups were observed and compared.Results：The curative effect of surgical treatment group was superior to drug treatment group.There was the shortest hospitalization time and the most hospitalization expense in laparoscopic treatment group.On the contrary,there was the longest hospitalization time and the lowest hospitalization expense in drug treatment group.There was no significant differences in re-pregnancy rate and the incidence of ectopic pregnancy within one year after the treatment among the three groups.Conclusions：Each treatment method of ectopic pregnancy has its own advantages and disadvantages,and it should select the most suitable treatment way according to the situation and condition of the patients.