输卵管妊娠保守治疗方法探讨

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1、［摘要］目的探讨输卵管妊娠的保守治疗方法。方法选取本院2006年1月〜2014年12月收治的90例未破裂和未流产型输卵管妊娠患者作为研究对象，随机分为试验组、腹腔镜手术组和药物保守治疗组，各30例。试验组采用孕囊穿刺注药法配伍中药口服治疗，腹腔镜手术组釆用腹腔镜保守手术治疗，药物保守治疗组采用药物保守治疗。比较三组的治愈率、绒毛膜促性腺激素（B-HCG）降至正常时间、异位包块消失时间、患侧输卵管通畅率、治疗费用。结果试验组、腹腔镜手术组、药物保守治疗组的治愈率分别为100%、100%、90%o试验组与腹腔镜手术组的血B-HCG下降至正常时间显著短于药物保守治疗组，差异有统

2、计学意义（P0.05）。腹腔镜手术组的异位包块消失时间短于试验组及药物保守治疗组，差异有统计学意义（P0.05）。腹腔镜手术组的治疗费用高于试验组和药物保守治疗组，差异有统计学意义（P0.05）。结论孕囊穿刺抽吸注药配伍中药治疗未破裂和未流产型输卵管妊娠患者的杀胚效果明显，能明显缩短包块消失时间，提高患侧输卵管通畅率，治疗费用低，对有生育要求未破裂及未流产型的输卵管妊娠患者意义重大。［关键词］输卵管妊娠；孕囊穿刺注药；中药保守治疗；腹腔镜保守手术［中图分类号］R714.22+1［文献标识码］A［文章编号］1674-4721(2016)09(b)-0061-03［Abstr

3、act］ObjectiveToexploretheconservativetreatmentmethodoftubalpregnancy.Methods90patientswithunrupturedandnoabortiontubalpregnancyfromJanuary2006toDecember2014inourhospitalwereselectedandrandomlydividedintotheexperimentalgroup,thelaparoscopicsurgerygroupandthedrugconservativetreatmentgroup,3

4、0casesineachgroup.TheexperimentalgroupwastreatedwithgestationalsacpunctureandinjectionofmedicinemethodcombinedwithoraltraditionalChinesemedicine,thelaparoscopicsurgerygroupwastreatedwithlaparoscopicsurgery，thedrugconservativetreatmentgroupwastreatedwithdrugconservativetreatment.Thecurerat

5、e,thetimeofB-HCGdecreasedtothenormal，thedisappearancetimeofectopicmass,thetubalpatencyrateoftheaffectedside,thecostoftreatmentamongthreegroupswascomparedrespectively.ResultsThecureratesofthethreegroupswere100%，100%and90%intheexperimentalgroup,thelaparoscopicsurgerygroupandthedrugconservat

6、ivetreatmentgroup.ThetimeofB-HCGdecreasedtothenormalintheexperimentalgroupandthelaparoscopicsurgerygroupwasshorterthanthatinthedrugconservativetreatmentgroup,withsignificantdifference(P0.05)・Thedisappearancetimeofectopicmassinthelaparoscopicsurgerygroupwasshorterthanthatintheexperimentalg

7、roupandthedrugconservativetreatmentgroup,withsignificantdifference(P0.05)・Thecostoftreatmentinthelaparoscopicsurgerygroupwashigherthanthatintheexperimentalgroupandthedrugconservativetreatmentgroup,withsignificantdifference(P0.05)・ConclusionTheeffectofkillingembryoof