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输卵管妊娠106例临床分析
http://www.100md.com 2008年2月1日 《中外健康文摘·临床医师》 2008年第2期
输卵管妊娠106例临床分析

     【中图分类号】R714.22+1【文献标识码】D【文章编号】1672-5085(2008)02-0063-02

    【摘要】目的:探讨输卵管妊娠的病因、临床特点及其诊治方法。方法:回顾性分析我院近两年收治的106例输卵管妊娠患者的临床资料。结果:40例药物治疗患者中29例成功(72.5%),平均住院时间17.6±7.3天;手术治疗成功77例(100%),平均住院时间10.7±5.1天,术中发现合并有盆腔及输卵管炎性改变者42例(54%)。结论:人工流产、药物流产后继发输卵管炎是引起输卵管妊娠的主要病因,对早期未破裂的输卵管妊娠可采取药物治疗,但药物治疗时间较长,且可能失败,目前手术仍是主要的治疗手段。

    【关键词】输卵管妊娠;病因;诊断;治疗

    Tubal pregnancy 106 examples clinical analyses Zhu Zhengying

    【Abstract】Objective:Discussion tubal pregnancy cause of disease, clinical characteristic and its diagnosis method. Method: The review analyzes 106 examples tubal pregnancy patient’s clinical material which my courtyard nearly two years admits.Result: 40 examples medicines treat in the patient 29 examples to succeed (72.5%), equally is hospitalized the time 17.6±7.3 day; The surgery treats the successful 77 examples (100%), equally is hospitalized the time 10.7±5.1 day, in the technique discovered the merge has the pelvic cavity and the salpingitis change 42 examples (54%). Conclusion: The induced abortion, the medicine miscarriage successor sends the salpingitis causes the tubal pregnancy main cause of disease, has not burst to the early time the tubal pregnancy to be possible to adopt the medicine treatment, but medicine treatment time longer, also is possible to be defeated, at present the surgery was still the main treatment method.  ......

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