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Ectopic pregnancy (ectopic pregnancy, EP), often called ectopic pregnancy, its strict definition of implantation of the fertilized egg in the uterus outside the body cavity, so the cervical pregnancy for an ectopic pregnancy, in addition to a tubal pregnancy, ovarian pregnancy, abdominal pregnancy, broad ligament pregnancy. Although in recent years due to ectopic pregnancy causes of maternal mortality rate decreased significantly, but its incidence in China is still an upward trend, ectopic pregnancy or treatment programs tubal structure and function of the damage cause a threat to women's reproductive health and become the focus of attention. Showed an upward trend in the United States, Norway, Sweden, Australia, the reported incidence of ectopic pregnancy, Zhejiang, Sichuan, Yinchuan, Guangdong, China reported incidence was also growth trends, and ectopic pregnancy in patients younger trend increasingly more obvious 16 years old, the minimum age of onset reported in the literature, especially the first pregnancy that a significant increase in patients suffering from ectopic pregnancy, which caused a great threat to women's reproductive health, also sounded the alarm for the majority of medical workers: we need understand the current prevalence of ectopic pregnancy, and continue to study the risk factors, and explore more safe, effective and economic treatment programs, and the need to strengthen the prevention of ectopic pregnancy, publicity and education work, especially for young patients missionary. Retrospectively analyzed the clinical features of the patients admitted to our hospital from January 2007 to December 2009 based on the above research background, select 948 cases of ectopic pregnancy, prevalence trends summarize our hospital patients with ectopic pregnancy, age characteristics, pregnancy production times with ectopic pregnancy relations, the trend of the treatment program and analysis of the costs of the various treatment options to guide clinical practice for the prevention and treatment of ectopic pregnancy. In this study, divided into two parts: (1) illness characteristics analysis: all patients by the time the three groups, comparing suffering from the annual number of cases of ectopic pregnancy, the number of patients / gynecological hospital trend of the total number; patients age for lt; 20-year-old, 20 to 25 years old, 26 to 30 years old, 31 to 35 years old, 36 to 40 years old, gt; 40-year-old, a total of six ages, time is divided into three groups, and comparative analysis of the prevalence of age characteristics; maternal time statistics for all patients, and is divided into the first pregnancy, nulliparous, parous comparative analysis of the three groups. ② therapy: analysis of 881 cases treated patients with tubal pregnancy, grouped by time to sum up the trend of the various treatment options, the cost of treatment of the various treatment options. The main findings of the study are as follows: 1. Prevalence characteristics: ① overall prevalence trends: the annual number of inpatient cases ectopic pregnancy and a percentage of the total number of hospitalized patients were 295 cases (16.6%), 330 cases (16.0%), 323 cases (15.3%), the three constituent χ2 = 1.354, P = 0.508, no significant difference. ② age of characteristics: the average age was 30.31 years old, the minimum age is 16 years old, the maximum age of 50 years old, the overall peak age of onset is 31 to 35 years old (28.5%), in 2007, in 2008 the peak age of 31 to 35-year-old The 2009 peak Age in advance for 26 to 30 years of age. Constitute ectopic pregnancy, the number of patients in the same year 2008 and 2009 patients with an average age of less than 20 years old group was statistically significant difference (p = 0.028), number of patients ≤ 30 age group / years difference (p = 0.024). ③ maternal characteristics: the average number of pregnancy was 2.97 times, up to 14 times (only 1 case), at least once; 730 cases of abortion patients, accounting for 77%, 2.20 times the average number of abortions up to 11, at least 1 times, previous to the risk of ectopic pregnancy in 95 cases, accounting for 10.02%. Nulliparous parous gt; gt; first pregnancies, the number of patients. 2. Treatment analysis: ① conservative treatment of patients (471 cases, 53.4%) compared with surgical treatment (410 cases, 46.6%) and more, and the increasing trend; ② laparotomy 177 cases, accounting for 43.2%, which conservative surgery of 50 cases, at salpingectomy 127 cases; 233 cases of laparoscopic surgery, 56.8%, of which the 183 cases of conservative surgery, salpingectomy 50 cases. Three years compared to laparotomy salpingectomy decreasing laparoscopic conservative surgery has increased every year; the ③ conservative medical treatment to \47.7% of the patients, 26.0%. The ④ medication effective rate of 93.42%, longer hospital stay, but more than the surgery cost - effective value (2300.13vs.7566.49). Open surgery than laparoscopic surgery is more cost-effective value (7538.87vs.7590.43), but its long hospital stay, no difference in hospital costs between the two. This study drawn: our hospital patients with ectopic pregnancy increased significantly, the proportion accounted for gynecological inpatients on a downward trend. Patients getting younger and younger patients ≤ 30 years old. Abortion, repeat ectopic pregnancy, The production history ectopic pregnancy risk factors. Laparoscopic conservative surgery as the treatment of ectopic pregnancy surgical treatment options; drug treatment showed a rising trend, with its cost-effective value-based and single-dose therapy \
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