持续性异位妊娠的诊治及预防进展

Progress in treatment and prevention of persistent ectopic pregnancy

持续性异位妊娠是异位妊娠保守性手术后的并发症之一,严重损害患者身心健康并造成经济负担。其发生与血h CG值、停经天数、包块大小、手术方法及术后h CG值的监测等多种因素有关。其治疗和预防方法也多种多样,包括不予任何处理的期待治疗、以甲氨蝶呤(MTX)为主的药物保守治疗和手术治疗三种,而手术治疗的路径又可分为腹腔镜或开腹手术。目前如何掌握好手术方法,合理、适时应用药物,减轻患者痛苦和费用仍是一个难题。

Persistent ectopic pregnancy（PEP） is one of the complications of ectopic pregnancy after conservative treatment, which caused serious damage to patients＇ physical and mental health and caused economic burden. Its occurrence includes a variety of factors： serum h CG values, duration of menopause, mass size, surgical methods and postoperative monitoring of h CG values and so on. Its treatment and prevention methods are also diverse, how to grasp of the current surgical techniques deftly, reasonable and timely application of drugs to alleviate the suffering of patients and the cost is still a problem.