摘要
目的:探讨异位妊娠保守治疗失败的原因。方法:对2004年1月～2007年1月在我科进行保守治疗的宫外孕患者的临床资料进行回顾性分析。结果:保守治疗失败的患者的年龄与成功的患者相比,无显著性差异(P>0.05),但停经天数显著大于成功组的患者(P<0.01),血β-HCG浓度明显高于成功组的患者(P<0.01),包块直径显著大于成功治疗组(P<0.05),阳性腹痛率大于成功治疗组患者(P<0.01)。β-HCG浓度越低,保守治疗的成功率越高。结论:宫外孕患者选择保守治疗要严格选择指征,这样才能提高治疗的成功率。
Objective：To investigate the cause of failure of conservative therapy in women with ectopic pregnancy. Methods： Clinical data of a total of 98 cases of women with ectopic pregnancy treated with conservative therapy from January 2004 to January 2007 were retrospectively analyzed. Results：There was no difference of age between the successful group and the failure group. The days after menolipsis, serum β-HCG level in the successful group was higher than the failure group. The diameter of clump in the successful group was bigger than the failure group. Also, the rate of abdominal pain in the successful group was higher than the failure group. The lower level of serum β-HCG, the higher rate of success of con- servation therapy in women with ectopic pregnancy.Conclusion：We should strictly select the cases with ectopic pregnancy for conservative therapy to improve the perinatal outcome.
出处
《中国医药导报》
CAS
2007年第12X期39-40,共2页
China Medical Herald
关键词
异位妊娠
保守治疗
失败
Ectopic pregnancy
Conservative therapy
Failure
