摘要
目的:探讨相隔10年异位妊娠诊断的变化及治疗方法的选择。方法:回顾分析我院1995年度及2005年度共151例异位妊娠的诊治情况。结果:①异位妊娠与同期分娩数之比由1995年的1·0∶16·3上升为2005年的1·0∶4·2。②诊断技术有改进,剖腹探查的比例下降,而经阴道超声结合血、尿绒毛膜促性腺激素(β-HCG)检测确诊者增多。确诊时间缩短,1995年平均为(5·6±0·7)天,2005年平均为(3·2±0·2)天,P<0·05。③手术治疗比例下降,保守治疗比例上升,其成功率增加。结论:异位妊娠发生率增高。阴道超声结合敏感的血清β-HCG测定缩短了确诊的时间。剖腹手术减少,腹腔镜手术及保守治疗是目前异位妊娠治疗的趋势。
Objective： To investigate the changes of diagnosis and treatment of ectopic pregnancy （EP） in 1995 and 2005. Methods： Medical records of 151 cases with EP seen in our hospital in 1995 and 2005 were collected and analyzed retrospectively. Results： （1）The incidence of EP increased from 1.0 per 16. 3 labours in our hospital in 1995 to 1.0 per 4. 2 labours in 2005. （2）Diagnosis was confirmed more by transvaginal ultrasound combined blood and urine of human chorionic gonadotropin - beta assay rather than exploratory laparotomy and with a shorter period. （5. 6 ±0. 7） days in 1995 versus （3.2 ±0. 2） days in 2005, P 〈0. 05. （3）The choice of treatment was more conservative than surgical treatment. The success rate of conservative treatment was increased. Conclusion： Although the incidence of EP is increasing, vaginal ultrasound with sensitive determination of serum β - HCG shorten the diagnosis time. Laparotomy is reduced , laparoscopic surgery and conservative treatment are the trends of treating ectopic pregnancy.
出处
《中国妇幼保健》
CAS
北大核心
2008年第11期1501-1503,共3页
Maternal and Child Health Care of China
关键词
妊娠
异位
诊断
治疗
发病率
Pregnancy
Ectopic
Diagnosis
Therapy
Incidence
