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目的探讨异位妊娠早期诊断、早期治疗对患者预后的影响。方法76例确诊异位妊娠的患者,按停经天数≤40 d及>40 d分组(各38例)。两组均采用了保守及手术等个性化治疗。结果停经天数≤40d组保守治疗成功率75.0%,停经天数>40 d组保守治疗成功率45.5%,两组差异有统计学意义(P<0.05)。停经天数≤40 d组手术18例,术中腹腔出血>500 ml者7例,其中>1000 ml者3例;停经天数>40 d组手术27例,术中腹腔出血>500 ml者21例,其中>1000 ml者16例,两组差异有统计学意义(P<0.05)。结论提高异位妊娠的早期诊断并得以早期住院治疗,可降低患者的手术率和腹腔内大量出血的比率。
Objective To investigate the effect of early diagnosis and early treatment of ectopic pregnancy on the prognosis of patients. Methods Totally 76 patients with ectopic pregnancy were divided into groups according to days of menopause ≤40d and> 40d (38 cases each). Two groups were used conservative and surgery and other personalized treatment. Results The conservative treatment success rate was 75.0% and the conservative treatment success rate was 45.5%. The difference between the two groups was statistically significant (P <0.05). There were 18 cases of menopause days≤40 d, 7 cases of peritoneal hemorrhage> 500 ml, 3 cases> 1000 ml, 27 cases of menopause days> 40 d, 21 cases of intra-abdominal bleeding more than 500 ml, There were 16 cases> 1000 ml, the difference between the two groups was statistically significant (P <0.05). Conclusion Increasing the early diagnosis of ectopic pregnancy and early hospitalization can reduce the rate of operation and the rate of massive intra-abdominal hemorrhage.