Chinese and Western medicine with conservative treatment of ectopic pregnancy clinical analysis of 79 cases of
[Abstract] Objective To observe the combined Chinese and Western medicine treatment of ectopic pregnancy clinical efficacy. Methods 79 cases of ectopic pregnancy
in patients with oral mifepristone, intramuscular injection of methotrexate and ectopic pregnancy-? side with traditional Chinese medicine to observe the effect. Results 79 cases of ectopic pregnancy in 17 cases of switch surgery, 62 cases of conservative
treatment success, cure rate 78.5%. Conclusion western medicine combined with treatment of ectopic pregnancy with satisfaction, usage convenience, to alleviate the suffering of patients, there is the promotion application.
[Key words] ectopic pregnancy (ectopic pregnancy), the combination of conservative treatment of Chinese and Western Medicine
Ectopic pregnancy is a common gynecological diseases, the incidence of an upward trend in recent years, but not unmarried fertility and number of cases increased
significantly, and thus to retain the reproductive function of patients is also more important. With the determination of serum β -HCG and B-ultrasound detection of
universal application and raising the level of the vast majority of ectopic pregnancy can
be an early diagnosis, conservative treatment of ectopic pregnancy has provided cases of ectopic pregnancy, conservative treatment of 79 patients, accounting for the
same period 78.7% of the total number of the treatment of ectopic pregnancy. Are reported below.
A clinical data
1.1 The general age from 14 to 45 years old, 20 years of age in 2 cases, accounting for 2.5%; 20 ~ 29 years old 36 cases, accounting for 45.7%; 30 ~ 39 years old 35 cases, accounting for 44.3%; 40 ~ 45 years of age in 6 cases, accounting for 7.5 %. The maternal 19 cases, accounting for 24.1%; not mothers of 60 cases, accounting for 75.9%. A second 68 cases of ectopic pregnancy, accounting for 86.1%; 2 times nine cases of ectopic pregnancy, accounting for 11.4%; 3 times in 2 cases of ectopic pregnancy, accounting for 2.5%. 78 cases of tubal pregnancy, accounting for 98.8%; one cases of cervical pregnancy, accounting for 1.3%; of these combined intrauterine ectopic pregnancy in 1 case, accounting for 1.3%.
1.2 incidence of 46 cases of pelvic inflammatory disease related factors, accounting for 58.2%; a history of pelvic surgery in 26 cases, accounting for 33%; Purchase 4 cases
of IUD, accounting for 5%; a history of 34 cases of abortion, accounting for 43%, up by 5 times .
1.3 symptoms of menopause, history of 69 cases, accounting for 87.3%, and stopped by the minimum 30 d, up to 73 d; lower abdominal pain 62 cases, accounting
for 78.4%; 66 cases of vaginal bleeding, accounting for 83.5%; nausea and vomiting in 10 cases, accounting for 12.7%; syncope 2 cases, accounting for 2.5%.
1.4 signs of cervical pain in 24 cases cited, accounting for 30.4%; six cases of
posterior vaginal fornix full tenderness, accounting for 7.5%; Annex district mass or thickening of 55 cases, accounting for 69.6%; abdominal tenderness rebound tenderness in 51 cases, accounting for 64.6% ; 31 cases of uterine increased, accounting
for 39.2%; shifting dullness in 5 cases, accounting for 6.3%.
1.5 auxiliary examination OK culdocentesis 8 cases, accounting for 10.1%, out of 8 cases of non-coagulation, accounting for 10.1%; B-ultrasonic examination: Annex
district mass in 51 cases, accounting for 69.6%; see the bud and primitive fetal heart beat three cases of possession , accounting for 3.8%; mass the size of 10mm * 7 mm ~
54 mm * 48 mm, endometrial thickness of 2.7 mm ~ 19 mm; pelvic fluid of 43 cases, accounting for 54.4%, maximum depth to diameter 52 mm; 3 Li admission is not to do B-inspection, one cases of combined intra-uterine pregnancy, the remaining 75 cases of
B-ultrasound were not prompted to intra-uterine pregnancy sac; urine HCG: positive
for 59 cases, accounting for 54.4%, weakly positive in 12 cases, accounting for 15.2%, not done in 6 cases , accounting for 7.5%, negative in 2 cases, accounting for 2.5%; serum β -HCG measurement: 21.67 mIu / ml ~ 755.5 mIu / ml, were greater than the normal standards of our hospital