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目的 :探讨异位妊娠三种治疗方法的优缺点。方法 :对 2 0 0 0年 1月～ 2 0 0 3年 1月我院收治的异位妊娠 78例 (氨甲喋呤保守治疗 15例 ,常规手术 41例 ,腹腔镜手术 2 2例 )进行疗效和效益分析比较。结果 :氨甲喋呤保守组患者平均年龄显著低于手术组和腹腔镜组 ,而平均住院时间显著高于手术组和腹腔镜组。氨甲喋呤保守组住院费用最低 ,手术组居中 ,腹腔镜组最为昂贵 ,三组差异显著。结论 :三种治疗方法各有利弊 ,在严格掌握异位妊娠治疗方法的适应症与禁忌症的同时 ,仍要考虑患者本身利益
Objective: To explore the advantages and disadvantages of three treatment methods of ectopic pregnancy. Methods: From January 2000 to January 2003 in our hospital 78 cases of ectopic pregnancy (methotrexate conservative treatment in 15 cases, routine surgery in 41 cases, laparoscopic surgery in 22 cases) for efficacy and effectiveness analyse and compare. Results: The mean age of methotrexate conservative group was significantly lower than that of operation group and laparoscopy group, while the average length of stay was significantly higher than that of operation group and laparoscopic group. Methotrexate conservative group, the lowest hospitalization costs, the surgery group, the most expensive group of laparoscopic, three significant differences. Conclusion: There are pros and cons of the three treatment methods, strict control of indications and contraindications ectopic pregnancy treatment, we must still consider the patient’s own interests