78例异位妊娠的诊断及治疗分析.pdfVIP

现代医药卫生2008年24卷第6期 78例异位妊娠的诊断及治疗分析 郭红军 (桃源县茶安铺中心医院，湖南桃源415700) 【摘要】目的：探讨异位妊娠临床诊断及治疗方法的选择。方法：回顾性分析1997年2)q～2007年3月本院收治的78例确诊为异位 妊娠患者的临床资料，根据患者妊娠部位和输卵管、卵巢破损的程度、内出血多少及有无失血性休克症状和患者对生育的要求等综 合分析后决定手术方式。分为切除患侧输卵管的彻底手术组(A组)40例和对患侧卵巢和附件造口或整形的保守性手术组(B组)38 例。比较A、B两组手术时间、术中出血、术后住院天数、术后排气时间、B—HCG下降时间及住院费用。结果：A、B两组手术时间、术中 出血、术后住院天数、术后排气时问、B—HCGT降时间及住院费用比较差异无显著性( 0．05)，B组术后宫内妊娠率65．7％。结论：异 位妊娠保守性手术能最大限度地保持生育功能及维持良好的内分泌状态，手术难度不大，可在基层医院推广应用。 【关键词】异位妊娠；临床分析 文章编号：1009—5519(2008)06—0806—02 中图分类号：R71 文献标识码：A Diagnosis and treatment of 78 cases of ectopic pregnancy GUO日o，学 un (Choanpu Central Hospital ofTaoyuan，Hunan 415700，China) 【AbstractlOHecfive：To study the clinical diagnosis and therapeutic method of ectopic pregnancy．Methods：The clinical data in 78 patients with ectopic pregnancy from 1997 to 2007 in our hospital were analysed retrospectively，and divided into energetic operation group(group A，40 cases)and conservative operation group(group B，38 cases)based on the position of gravidity，damaged degree of oviduct and ovary，bleeding volume of internal hemorrhage and procreative requirement．Th e time of operation，bleeding volume during op— eration，hospital stay after operation，the time of postoperative exstrmation，13-HCG according to the patient and disease and the cost of hospitalization were compared vespectively．Results：Th ere were no significant differences in the time of operation，bleeding volume during operation，hospital stay after operation，the time of postoperative exstrmation and the cost of hospitalization between two groups．Conclu— sion：Th e conservative operation for ectopic pregnancy can maximally maintain the procreative function and endocr