输卵管妊娠保守治疗方法探讨

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Abstract Objective To explore the conservative treatmentmethod of tubal pregnancy.Methods 90 patients with unruptured and no abortion tubal pregnancy from January 2006 to December 2014 in our hospitalwere selected and randomly divided into the experimental group，the laparoscopic surgery group and the drug conservative treatment group，30 cases in each group.The experimental group was treated with gestational sac puncture and injection ofmedicinemethod combined with oral traditional Chinesemedicine，the laparoscopic surgery group was treated with laparoscopic surgery，the drug conservative treatment group was treated with drug conservative treatment.The cure rate，the time ofβ-HCG decreased to the normal，the disappearance time of ectopic mass，the tubal patency rate of the affected side，the cost of treatment among three groups was compared respectively.Results The cure rates of the three groups were 100%，100% and 90%in the experimental group，the laparoscopic surgery group and the drug conservative treatment group.The time ofβ-HCG decreased to the normal in the experimental group and the laparoscopic surgery group was shorter than that in the drug conservative treatment group，with significant difference　（P＜0.05）.There was no significant difference in the time ofβ-HCG decreased to the normal between the experimental group and the laparoscopic surgery group　（P＞0.05）. The disappearance time of ectopic mass in the laparoscopic surgery group was shorter than that in the experimental group and the drug conservative treatmentgroup，with significant difference　（P＜0.05）.The disappearance time of ectopic mass in the experimental group was shorter than that in the drug conservative treatment group，with significant difference　（P＜0.05）.The tubal patency rate of the affected side in the experimental group was higher than that in the laparoscopic surgery group and the drug conservative treatment group，with significant difference　（P＜0.05）.There was no significant difference in the tubal patency rate of the affected side between the laparoscopic surgery group and the drug conservative treatment group　（P＞0.05）.The cost of treatment in the laparoscopic surgery group was higher than that in the experimental group and the drug conservative treatment group，with significant difference（P＜0.05）.There was no significant difference in the cost of treatment between the laparoscopic surgery group and the drug conservative treatmentgroup（P＞0.05）.Conclusion The effectof killing embryo of gestational sac aspiration injection ofmedicinemethod combined with oral traditional Chinesemedicine in the treatmentof unruptured and not abortion tubal pregnancy patients is obvious，which can significantly shorten themass disappearance time，improve the tubal patency rate of the affected side，and the treatment cost is low，it is of great significance to the patients with fertility requirement of unruptured and no abortion tubal pregnancy.

Key words： Tubal pregnancy Gestational sac puncture and injection Conservative treatment of traditional Chinese medicine Laparoscopic conservative surgery

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	LIU Ai-min
	CHEN Feng

Cite this article:

LIU Ai-min,　CHEN Feng. Discussion of conservative treatmentmethod of tubal pregnancy[J]. 中国当代医药, 2016, 23(26): 61-63.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I26/61

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