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目的探讨输卵管妊娠的临床特点、早期诊断及保守治疗方法。方法对309例输卵管妊娠患者的临床资料进行回顾性分析。结果输卵管妊娠309例,101例药物保守治疗,其中89例治愈,12例中转手术治疗;208例保守手术治疗均治愈。药物保守治疗治愈后的输卵管通畅率53.90%,宫内妊娠率51.68%;手术保守治疗治愈后输卵管通畅率92.30%,宫内妊娠率73.07%。结论保守治疗已成为治疗输卵管妊娠的主要治疗方式,对有生育要求的患者应尽早行保守治疗,具备保守手术条件的尽量行保守手术治疗。
Objective To investigate the clinical features, early diagnosis and conservative treatment of tubal pregnancy. Methods The clinical data of 309 cases of tubal pregnancy were retrospectively analyzed. Results 309 cases of tubal pregnancy, 101 cases of drug conservative treatment, of which 89 cases were cured, 12 cases of transit surgery; 208 cases of conservative surgery were cured. The treatment of conservative treatment of tubal patency rate was 53.90%, intrauterine pregnancy rate was 51.68%; surgical conservative treatment of tubal patency rate was 92.30%, intrauterine pregnancy rate was 73.07%. Conclusion Conservative treatment has become the treatment of tubal pregnancy, the main treatment of patients with reproductive requirements should be conservative treatment as soon as possible, with conservative surgical conditions as conservative surgery.