632 Cases Of Ectopic Pregnancy Drugs Influence Factors Analysis Of Conservative Treatment

Objective:Ectopic pregnancy is one of the abdomen of Obstetrics and Gynecology, seriously endangering the life and health. For young women give birth requires a heavy blow on the psychology and physiology, therefore, to find a new diagnostic tools and treatments, much attention. With the improvement of blood β-HCG and ultrasound measurement techniques to enhance the diagnosis and treatment technology, and people’s health education and ideological progress, early diagnosis and treatment for patients with a possible ectopic pregnancy, treatment methods from traditional open surgery save lives evolved into conservative treatment to preserve fertility, the subject focuses on the cases of patients in our hospital conservative treatment of ectopic pregnancy to collect and organize, through laboratory examinations and clinical manifestations of the impact of conservative treatment of ectopic pregnancy success factors were analyzed, the success rate of conservative treatment and prognosis of exploration.Methods:In our hospital clinical diagnosis of ectopic pregnancy diagnosis First Affiliated Hospital of Shanxi Medical University, January 2007 to December 2013 period and given medical treatment 632 patients were retrospectively analyzed, the cases were different treatment modalities Clinical comparative analysis, according to different treatment outcomes of all patients were divided into success group and failure group, checking for possible influencing factors univariate analysis Logistic multivariate analysis after the line through B-ultrasound and laboratory.Results:Through the analysis of a single factor, depending on the level of serum β-HCG test before treatment, progesterone result, the diameter size of mass can judge these factors are key factors for ectopic pregnancy conservative medical therapy effects(P <0.05); while age, menopause for several days, with or without abdominal pain and vaginal bleeding had no significant effect(P> 0.05) to success. Logistic regression line, we can see the results of HCG levels, serum progesterone levels and the diameter of the pelvic mass is the success factors of drug therapy.Conclusions:The serum level of HCG and progesterone, mass diameter line size is a key factor in the success rate of ectopic pregnancy conservative treatment effects should be based on their different clinical symptoms and some auxiliary check to make appropriate treatment,improve the success rate of drug treatment.