A Retrospective Evaluation Studies Of "Tubal Pregnancy Treatment Program"

Objective Retrospective evaluation of "tubal pregnancy treatment program,"the accuracy and feasibility.Methods The January 2000-2007, in December in Guangzhou University ofTraditional Chinese Medicine Affiliated Hospital of the first gynecologicalsurgical hospital administration treatment of patients with tubal pregnancy(including, without a score directly surgery), an investigation washospitalized cases methods of collecting clinical data,case of the patients were identified disease stage and syndromedifferentiation, the calculation of incidence of the condition before theimpact factor scores, and in accordance with the surgical findings wereanalyzed pregnancy, pregnancy mass size, bleeding volume, tubal whether activebleeding and pelvic, these factors will permit-by were treatedstatistically, evaluation of pre-study and formulation of the "tubal pregnancytreatment program," the accuracy and feasibility.Results1 Tai yuan zu luo, zheng xu xue yu, qi xue kui tuo of the pregnancy wassignificantly (P＜0.01); 3-pregnancy mass Drive and the largest amount ofinternal bleeding, which was no significant difference (P＞0.05), The latteris very significant difference (P＜0.01). 3-tubal active bleeding are a fewcases there was a significant difference (P＜0.01).①Tai yuan zu luo resistance network integral≤8 66 cases, of which 45 caseswere-HCG＜1000IU/L.≥1000IU/L 21 cases of pregnancy were two groups had nosignificant difference (P＞0.05), Pregnancy mass diameter and internalbleeding volume was significant (P＜0.05).②Tai yuan zu luo resistance network integral≤8 66 cases, of which pregnancymass "5 cm in 50 cases, more than 5 cm in 16 cases, Pregnancy two groups werenot significantly different (P＞0.05); Pregnancy mass "5cm of bleeding volumeand pregnancy mass≥5 cm more significant difference (P＜0.01).3 Qi xue kui tuo of the body-285 cases, the pregnancy site, bleeding volumeand fetal yuan and contact resistance is more imaginary blood stasis is a verysignificant difference (P＜0.01) Pregnancy largest mass Path no significantdifference (P＞0.05), Tubal active bleeding are a few cases there was a significant difference (P＜0.01).4 Zheng xu xue yu is a total of 355 cases, including disease impact factorscores were≤9 pm 138 cases,≥10 were 217 cases, the two parts of pregnancyno significant difference (P＞0.05), Pregnancy mass diameter and internalbleeding volume was significantly (P＜0.01) Tubal active bleeding are a fewcases there was a significant difference (P＜0.01).Zheng xu xue yu are integral≤138 cases of nine persons, including blood-HCG quantitative "1000IU/L 59 cases, 1000IU/L≥79 patients, two groupsof pregnancy were not significantly different (P＞0.05), Pregnancy largestmass Path no significant difference (P＞0.05), hemorrhage volume wassignificant (P＜0.05) Tubal active bleeding is a very significant difference(P＜0. 01).Conclusion1 On the early development of "tubal pregnancy treatment program" was notdamaged fetal period of tai yuan zhu luo resistance network-treatment programevaluation:(1) "Integral≤8 hours,①whenβ-HCG＜1000IU/L, the choice of Chinesemedicine treatment;②Whenβ-HCG≥1000IU/L choose dysphrenia treatment "isfeasible.(2) "Integral=9-10, the choice of combining Western and Chinese medicinetreatment" is feasible.(3) "Integral≥11 minutes, the surgical treatment of choice" is correct.(4) And fetal tai yuan zhu luo resistance network integral≤8 hours,pregnancy mass "5cm of hemorrhage was significantly more than pregnancy mass≥5 cm, This "tubal pregnancy treatment program" of the "integral≤8, tubalpregnancy mass≥5 cm diameter, choice treated with "contradictory demands.Pending further discussion and certification.2 On the early development of "tubal pregnancy treatment program" has damagedperiod qi xue kui tuo treatment program evaluation:Has been damaged period qi xue kui tuo "both integral number should be timelysurgical treatment" is correct.3 "Tubal pregnancy treatment program" has damaged blood stasis period of zhengxu xue yu is imaginary-treatment program evaluation:(1) "Integral≤9am,①whenβ-HCG＜1000IU/L, the choice of Chinese medicinetreatment:②When≥1000IU/Lβ-HCG, the choice treated with "is feasible.(2) "Integral≥10 hours to choose surgery. "is correct.