摘要
目的：探讨输卵管妊娠保守手术后并发持续性异位妊娠的防治措施。方法：选择未破输卵管妊娠患者４２例进行保守手术治疗，其中７例并发持续性异位妊娠，为持续组，另３５例治愈，为治愈组。全部病例于术前、术后２ｄ及以后每隔４ｄ测血β－ＨＣＧ至非孕水平。持续组患者再用ＭＴＸ治疗，结果：持续组血β－ＨＣＧ在术前、术后２ｄ、６ｄ、１０ｄ及１４ｄ测定值均明显高于治愈组（Ｐ＜００１）。术后１０ｄ所有的治愈组血β－ＨＣＧ均降至非孕水平，而持续组血β－ＨＣＧ均为不下降或上升。经ＭＴＸ１～２疗程治疗均治愈。结论：输卵管妊娠保守手术后，必须严密观察血β－ＨＣＧ，若术后１０ｄ血β－ＨＣＧ不下降或上升，则诊为持续性异位妊娠，对无临床症状者，用ＭＴＸ治疗。
Objective: To search the prophylaxis and treatment measures for persistent heterotopic pregnancy following conservative treatment by salpingostomy Methods:42 tubal pregnancy patients without salpingorrhexis were chosen and conservatively operated Out of them, 7 cases were diagnosed as persistent heterotopic pregnancy on day 10 after operation and assigned to experimental group,and the remainders as cure (control) group All cases′ β-HCGs were determined before operation and on day 2 and on every fourth days from operation day onwards until normal level of β-HCG restored The persistent group patients were totally cured following 1-2 courses of MTX treatment Results:In persistent group, patients′ blood β-HCGs were significantly higher than that in cure group ( P <0 01) before operation and on days 2、6、10 after operation On day 10, all patients′ blood β-HCGs in cure group went down to normal level; however, the β-HCG of persistent group did not reveal any decrease, reversely, somewhat increase appeared Conclusion: The results suggested that patients′ blood β-HCG should be closely tested after conservative treatment by salpingostomy If β-HCG goes up or does not significantly decrease on day 10 after operation, persistent heterotopic pregnancy can be established; for patient without clinical symptoms and signs, re-operation can be avoided if MTX treatment is set up appropriately
出处
《宁夏医学院学报》
1999年第2期96-98,共3页
Journal of Ningxia Medical College
关键词
输卵管妊娠
持续性异位妊娠
手术后
tubal pregnancy
salpingostomy
persistent ectopic pregnancy
