【摘要】 目的 探讨近6年异位妊娠发生率及诊断治疗方法的变化。方法 按每2年为1个时间段回顾分析我院1999年1月～2004年12月217例异位妊娠的诊治情况。结果 (1)异位妊娠与同期妇科住院患者数之比由1999～2000年的1∶15.7上升为2003～2004年的1∶7。(2)诊断技术有改进，剖腹探查的比例下降，而经阴道超声结合血、尿绒毛膜促性腺激素(β-HCG)检测确诊者增多。确诊时间缩短，1999～2000年平均为(5.6±0.7)天，2003～2004年平均为(3.2±0.2)天(P<0.05)。(3)手术治疗比例下降，保守治疗比例上升，其成功率增加。结论 异位妊娠发生率增高。阴道超声结合敏感的血清β-HCG测定缩短了确诊的时间。剖腹手术减少，腹腔镜手术及保守治疗是目前异位妊娠治疗的趋势。

    【关键词】 妊娠；异位；诊断；治疗；发病率

    Advances in diagnosis and treatment of ectopic pregnancy during the past six years:a report of 217 cases

    YANG Chen.

    Department of Gynecology and Obstetrics,The 81th Hospital of The P.L.A,Nanjing 210002,China

    【Abstract】 Objective To investigate the changes of diagnosis and treatment of ectopic pregnancy(EP)during the past six years.Methods Medical records of 217 cases of EP seen in our hospital from Jan.1999 to Dec.2004 were collected and analyzed retrospectively.Results (1)The incidence of EP increases from 1 per 15.7 gynecology patients in our hospital during 1999～2000 to 1 per 7 gynecology patients in 2003～2004.(2)Diagnosis was confirmed more by transvaginal ultrasonography and sensitive human chorionic gonadotropin-beta subunit assay rather than laparotomy and with a shorter period.(5.6±0.7)days in 1999～2000 versus (3.2±0.2) days in 2003～2004.(3)The choice of treatment was more conservative than abdominal salpingectomy.The success rate of conservative treatment rises.Conclusion Although the incidence of EP increased with the improvement of diagnostic approaches,patients were detected at an earlier stage and possible to be treated more conservatively. ......