影响输卵管妊娠保守治疗疗效的因素分析

Analysis of Factors Affecting the Efficacy of Conservative Treatment for Tubal Pregnancy

摘要: 目的：本研究目的是探讨影响保守治疗输卵管妊娠疗效的因素。方法：收集西北妇女儿童医院2022年1月~2023年1月收治的138例符合排纳标准的输卵管妊娠妇女，且所有患者均接受甲氨蝶呤配伍米非司酮保守治疗输卵管妊娠，本研究将被保守治疗的患者分为治疗成功组和治疗失败组，进行两组之间的差异比较。结果：本研究结果表明，治疗成功组与治疗失败组在停经天数和腹痛天数以及初始β-HCG值方面存在显著统计学差异(P < 0.05)。结论：本次研究结果提示患者停经天数、腹痛天数以及初始β-HCG值可能在甲氨蝶呤配伍米非司酮保守治疗异位妊娠成功率方面扮演重要角色。

Abstract: Objective: The objective of this research was to investigate the variables that impact the effectiveness of conservative management in cases of ectopic pregnancy. Methods: 138 cases of patients with tubal pregnancy from January 2022 to January 2023 in Northwest Women’s and Children’s Hospital were treated with the conservative medical treatment with Methotrexate mifepristone; the participants were categorized into two group. A comparison was conducted to assess the disparities between these two groups. Results: The findings indicated significant statistical variations in terms of menopause duration, abdominal pain duration, and initial β-HCG value between the treatment of success of group and losing treatment group (P < 0.05). Conclusion: The results suggest that the duration of menopause, the duration of abdominal pain, and the initial β-HCG value were examined in this study may play an important role in the success of conservative treatment of ectopic pregnancy with methotrexate and mifepristone this time.