摘要
目的探讨不同治疗方案对治疗异位妊娠的临床疗效。方法对120例异位妊娠患者的临床资料进行回顾性研究,随机确立腹镜组、开腹组、米非组和氨甲组,每组各30例,分别行腹腔镜手术、开腹手术以及口服米非司酮片和肌肉注射氨甲蝶呤治疗,比较分析两组疗效、不良反应/并发症、β-HCG下降至正常的时间、住院时间等。结果两手术组的有效率均为100%,两药物组的有效率分别为93.3%和90%。结论虽然部分数据比较存在一定统计学意义(P【0.05),但四种治疗异位妊娠的方案都具有较好的疗效(有效率都在90%以上),可根据患者的具体情况和要求采取不同的治疗方案,需注意的是腹腔镜作为一门新发展起来的微创手术方法,具有创伤小、痛苦少、恢复快、切口极小、疤痕小、美观、疗效显著等优点,能迅速终止妊娠并迅速降低血中β-HCG水平,且也能较好地保留生育能力,具有重要的临床应用价值。
Objective To discuss the different therapeutic schemes in the treatment of ectopic pregnancy clinical curative effect.Methods 120 cases of ectopic pregnancy patients were studied retrospectively,random establishment of abdominal mirror group,laparotomy group,and the group and amino group,30 cases in each group,respectively,laparoscopic operation and open operation of oral mifepristone tablets and intramuscular methotrexate treatment,a comparative analysis of two groups of efficacy,adverse reaction / complications,βHCG decreased to the normal time,hospitalization time.Results Two operation group’s effective rate was 100%,two drug groups have efficiencies were respectively 93.3% and 90%.Conclusion Although some data are statistically significant (P<0.05),but the four ectopic pregnancy treatment scheme has better curative effect (efficiency above 90%),according to the specific circumstances of the patients and require different treatment regimens,it must be noted that laparoscopy as a newly developed minimally invasive operation method,with less trauma,less pain,rapid recovery,incision with minimal,small scar,appearance,obvious curative effect and other advantages,can rapid termination of pregnancy and the rapid reduction of bloodβHCG level,but also can preserve fertility,which has important value in clinical application.
出处
《中国保健营养（下半月）》
2012年第8期3048-3049,共2页
China Health Care & Nutrition
关键词
异位妊娠
腹腔镜
开腹手术
米非司酮
氨甲蝶呤
Ectopic pregnancy
Laparoscopy
Open operation of methotrexate
Mifepristone
