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输卵管妊娠患者期待治疗成功与失败的临床特点分析

孙晓海 丁红涛 袁迎春 罗晓琴 陈彩霞 江娟

中国当代医药Issue(14):89-91,3.
中国当代医药Issue(14):89-91,3.

输卵管妊娠患者期待治疗成功与失败的临床特点分析

Analysis on clinical characteristics of success and failure of expectant treatment for patients with fallopian pregnancy

孙晓海 1丁红涛 1袁迎春 1罗晓琴 1陈彩霞 1江娟1

作者信息

  • 1. 深圳市宝安区石岩人民医院妇产科,深圳 518108
  • 折叠

摘要

Abstract

Objective To analyze the clinical characteristics of success and failure of expectant treatment for patients with fallopian pregnancy,and to summarize the influencing factors for the curative effects of expectant treatment. Meth-ods 80 patients with fallopian pregnancy who were admitted and treated in our hospital from January 2013 to August 2014 were selected as research subjects.They all received expectant treatment.They were assigned to failure group (re-quired for surgery or medical treatment) and success group (not required for surgery or medical treatment) according to the treatment outcome,and materials of medical cases including previous history of ectopic pregnancy,wether the pa-tients had pelvic fluid,and levels of blood β-hCG between two groups was collected and analyzed respectivdy.Logistic regression analysis was carried out for potential relevant factors influencing the effects of expectant treatment. Results Proportion of patients with history of ectopic pregnancy,systic structure and blood β-hCG lower than 635 U/L in suc-cess group was significantly smaller than that in control group(P<0.05).In addition,multivariate Logistic regression anal-ysis indicated that blood β-hCG level,wether the patients had pelvic fluid and progesterone were risk factors influenc-ing the curative effects of expectant treatment for fallopian pregnancy (OR=1.50;2.32;1.23,P<0.05). Conclusion Expec-tant treatment for patients with fallopian pregnancy has certain conditions,and its risk factors for successful or failed treatment include bloodβ-hCG,cystic structure and progesterone.

关键词

输卵管妊娠/期待治疗/影响因素

Key words

Fallopian pregnancy/Expectant treatment/Influencing factors

分类

医药卫生

引用本文复制引用

孙晓海,丁红涛,袁迎春,罗晓琴,陈彩霞,江娟..输卵管妊娠患者期待治疗成功与失败的临床特点分析[J].中国当代医药,2015,(14):89-91,3.

基金项目

广东省深圳市宝安区科技计划社会公益项目 ()

中国当代医药

1674-4721

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