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目的探讨三种方法治疗异位妊娠的疗效。方法将126例异位妊娠患者分为A(药物保守治疗)、B(腹腔镜手术)、C(常规剖腹手术)三组,对三组的手术时间、术中出血量、术后镇痛、术后住院天数及治愈率进行比较分析。结果 A、B、C组的平均住院天数分别为(24.5±15.3)、(4.5±2.0)、(7.5±4.0)d,B、C两组均较A组时间短,差异有统计学意义(P<0.05);B、C两组的治愈率分别为94.9%和100%,均高于A组的78.3%。结论根据患者及医院情况选择不同治疗方法,对手术顾虑大、无药物禁忌证、血β-人绒毛膜促性腺激素<2000 IU/L、妊娠孕囊直径≤2 cm、早期异位妊娠、有生育要求的患者宜选用药物保守治疗;对年龄小、有药物禁忌证、要求保留生育能力的患者应首选腹腔镜或开腹保守性治疗;对年龄大、无生育要求的患者以开腹或腹腔镜根治性手术为宜。
Objective To investigate the curative effect of three methods on ectopic pregnancy. Methods 126 cases of ectopic pregnancy were divided into three groups: A (conservative treatment), B (laparoscopic surgery) and C (conventional laparotomy). The operation time, intraoperative blood loss, postoperative analgesia, Postoperative hospital days and the cure rate for comparative analysis. Results The average lengths of stay in groups A, B and C were (24.5 ± 15.3), (4.5 ± 2.0) and (7.5 ± 4.0) days, respectively. The duration of stay in groups B and C was shorter than that in group A P <0.05). The cure rates of group B and group C were 94.9% and 100%, respectively, which were higher than those of group A (78.3%). Conclusions According to the patients and the hospital, different treatment methods were selected. There was great concern for surgery, no drug contraindications, blood β-human chorionic gonadotropin 2000 IU / L, pregnancy gestational sac diameter ≤ 2 cm, early ectopic pregnancy, Patients with fertility requirements should use conservative treatment of drugs; for young patients with drug contraindications, requiring retention of fertility should be the preferred laparoscopic or open laparoscopic conservative treatment; for older patients without reproductive requirements to open or abdominal Radical surgery is appropriate.