【摘要】 目的 探讨异位妊娠药物保守治疗适应范围。方法 采用统计学方法对124例异位妊娠药物保守治疗结局与血β-HCG定量及盆腔包块体积大小的关系进行分析。结果 血β-HCG定量≤2000mIU/ml者治疗成功率91.94％,明显高于血β-HCG定量>2000mIU/ml者(P<0.01),盆腔包块体积≤65cm~3治疗成功率高于体积>65cm~3(P<0.01)。结论 异位妊娠药物保守治疗的成功在于指征选择:患者生命征平稳,腹腔内无明显活动性出血;血β-HCG定量≤2000mIU/ml,腹腔包块体积≤65cm~3则保守治疗成功率高。更多还原

【Abstract】 Objective To search for the better index of medicinal conservative treatment in patients of ectopic pregnancy.Methods To analyze the relationship between the effect of medicinal conservative treatment and the serum β--HCG as well as the pelvic mass volum. Results The recovery rate in group of lower serum β--HCG (≤2000 mIU/ml) was significantly higherthan that with serum β--HCG>2000 mIU/ml (P<0. 01), while the recovery rate in patients with pelvic mass volum≤65cm~3was statisticly higher than the one with mass volum >65cm~3 (P<0. 01). Conclusion It is important to select the patiens withectopic pregnancy to treat with medicinal conserva--tive method. The recovery rate is higher when serum β--HCG≤2000 mIU/ml and pelvic mass volum≤65cm~3.更多还原