Dissertation > Excellent graduate degree dissertation topics show

A Retrospective Analysis of Ectopic Pregnancy Treatments

Author: JiaoZuoJie
Tutor: WangHuiLan
School: Hebei Medical University
Course: Obstetrics and Gynaecology
Keywords: ectopic pregnancy clinical score surgery conservati-ve surgery methotrexate mifepristone
CLC: R714.22
Type: Master's thesis
Year: 2011
Downloads: 49
Quote: 0
Read: Download Dissertation

Abstract


Objective: A retrospective analysis of Methods and their effects of ectopic pregnancy in our hospital, To provide clinicians with a more comprehensive assessment of patient’s condition based on evidence-based medicine, then find the minimum side effects for the selection of the beststandard treatment.Methods: Collect 163 cases of ectopic pregnancy From February 2010 to February 2011 , according to the different treatment methods weredivided into 5 groups,groupⅠipsilateral tubal surgery (including laparos-copy and laparotomy); groupⅡconservative surgery (including Incisione-mbryo surgery and Embryos out of the umbrella-side surgery); groupⅢmifepristone oral plus methotrexate deep intramuscular ; groupⅣdeep intramuscular methotrexate ; GroupⅤwas simply anti-inflammatory and s-topping bleeding therapy. To admission, gestational age, serumβ-HCG (IU/L), Transvaginal ultrasound (TVS) of ectopic pregnancy mass maxi-mum diameter(mm) and endometrial thickness (mm) as a variable rate set ectopic pregnancy cases of each group graded. Cases at all levels of eachgrou-p were analyzed.Results:1 The clinical score of 4 to 5 , there is no significantdifference in efficac- y in groupⅢ,Ⅳ,Ⅴ(p>0.05); 6 to 7 , a considerable effect in each group(p>0.05); clinical score 8 to 9 , groupⅠ,Ⅱ,Ⅲhave the same success rate(p>0.05), but higher thanⅣ,Ⅴgroups(p<0.05); when score > 9, groupⅤwas significantly lower than the rest(p<0.05).2 Mifepristone, methotrexate combination group does not have more than 9 score case and the other levels in this group was no significant difference on the effects(p>0.05); the effect of methotrexate alone group in 8 to 9 points is lower than 6 to 7 score(p<0.05), but compare with points > 9, no significant difference between groups;in anti-inflammatory and stoppi- ng bleeding group when the score > 9 the success rate is 0%.Conclusion:1 The hospital surgery for tubal pregnancy is reliable, but when the clin- ical score≤7 there was no significant difference on efficacy to the drug conservative treatment, therefore, when a clinical score≤7 does not recomm- end surgery, but conservative treatment with medication is a better choice.2 Compare with the singl efficacy of methotrexate, methotrexate andmifepristone combined group promote better, but when the clinical score≤7 advantage is not obvious, and when 8 to 9 the combined options has le-ss side effects and better effective than the selection of operative method and methotrexate alone.3 Deep intramuscular methotrexate in clinical score≤7 reliable effe-ct for the optimal choice, but the success rate of≥8 being significantlydecreased is not recommended.4 Alone anti-inflammatory treatment of tubal pregnancy bleeding can still be subject to further Strict selection criteria and closely observe the p-atient’s condition changes.

Related Dissertations

  1. Wang Jialin academic thinking and clinical experience and the treatment of ulcer colitis Recipe analysis,R259
  2. Analysis of Factors Related to Spectacle Dependence in Refractive Cataract Surgery,R779.66
  3. The Effects of Health Belief Model System Intervention on Prevention of Breast Cancer Realted Lymphedema,R473.73
  4. The Related Study of Breast-conserving Surgery Plus Postoperative Tangential Irradiation,R737.9
  5. Key Technologies of Modeling and Simulation in Virtual Surgery,TP391.41
  6. Comparative Study of Internal Intestinal Splinting with Long Nasointestinal Tube Vs. Traditional Ileus Surgery,R656.7
  7. Adult OSAHS Preoperative and Postoperative Nasal and Pharynx Cavity and Soft Palate of the Numerical Analysis of Fluid-structure Interaction,R766
  8. The Relationship of the Result Operations Aneurusm Surgery and Vaspasm,R651.1
  9. An Observation of the Concentration Changes of MTX in Maternal Milk and Serum in Partial Placenta Increta,R714.22
  10. To Investigate the Effect of MTX Joint Mifepristone on Patients with Ectopic Pregnancy,R714.22
  11. The Investigation of the Clinical Value of the Interventional Therapy of Cervical Pregnancy through Uterine Artery (Analysis of 12 Medical Cases of Illness),R714.22
  12. The Clinic Study of Comparison between Laparoscopic with Open Colonrectal Radical Surgery,R735.3
  13. Clinical Characteristics and Prognosis Analysis of Advanced Cholan Giocarcinoma,R735.8
  14. Children with acute leukemia also prototype folate carrier gene polymorphism,R733.71
  15. Laparoscopic versus open surgery for early stage endometrial cancer clinical comparative analysis,R737.33
  16. Surgical treatment of Crohn's disease clinical analysis of 25 cases,R656.9
  17. Continuous lumbar drainage techniques in neurosurgery Clinical Application,R651.1
  18. Serum IL-17 Levels and Intervention Effects of 99 Tc-MDP Combined with Methotrexate in Rheumatoid Arthritis Patients,R593.22
  19. Effect of Acupuncture on Expression of Chemokines Cx3cl1, CCL4 and Their Receptors CX3CR1,CCR1 in Uterus of Rats with Embryo Implantation Dysfunction,R245
  20. The Study of the Corresponding Relationship between V-EEG and MRI on Patients Underwent Epilepsy Surgery,R742.1
  21. Research and Design of MRI Compatible Puncture Surgery Location Robot,TP242

CLC: > Medicine, health > Obstetrics and Gynaecology > Obstetrics > Pathological pregnancy ( abnormal pregnancy ) > Ectopic pregnancy ( ectopic pregnancy )
© 2012 www.DissertationTopic.Net  Mobile