摘要
目的观察应用甲氨蝶呤及米非司酮保守治疗异位妊娠的疗效,为异位妊娠保守治疗提供参考。方法选择2013年至2014年吕梁市人民医院收治的异位妊娠保守治疗患者56例,根据药物治疗后是否成功分为成功组与失败组,比较两组的停经时间、腹痛天数及B超显示腹部包块大小、绒毛膜促性腺激素(HCG)水平,并用Logistic回归分析影响保守治疗成功的因素。结果两组停经时间比较差异有统计学意义(P<0.05),腹痛时间与阴道出血时间比较差异未见统计学意义(P>0.05)。血HCG水平、异位包块直径、停经天数是保守治疗失败的独立危险因素(P<0.05)。结论患者腹痛天数、包块大小及绒毛膜促性腺激素水平是影响保守治疗是否成功的关键因素,治疗时应根据以上几点确定是否采取保守治疗,以避免不必要的损失。
Objective To observe the effect of application methotrexate and mifepristone in the treatment of ectopic pregnan-cy,and to provide a reference for the conservative treatment of ectopic pregnancy. Methods Fifty-six ectopic pregnancy patients treated by conservative treatment were selected from 2013 to 2014 according to the results of treatment,and were divided into suc-cess group and failure group. The menopause time,abdominal pain days,abdominal mass size and serum HCG levels between the two groups were compared,the factors affecting the success of conservative treatment were analyzed by Logistic regression. Results The difference of menopause time between the two groups was statistically significant（P ﹤ 0. 05）,the abdominal pain days and vagina bleeding time between the two groups had no significant difference（P ﹥ 0. 05）. The serum HCG levels,diameter of ectopic mass, menopause time were independent risk factors for failure of conservative treatment （ P ﹤ 0. 05 ）. Conclusion The abdominal pains days,block size and serum HCG levels are key factors affecting the success of conservative treatment,treatment should be determined according to the above points when conservative treatment to avoid unnecessary losses.
出处
《临床医学》
CAS
2016年第2期26-27,共2页
Clinical Medicine
关键词
异位妊娠
保守治疗
疗效观察
Eetopic pregnancy
Conservative treatment
Curative effect
