Correlation Between The Success Of Conservative Treatment Of Tubal Pregnancy And HCG Value And Mass Diameter

Objective:To explore whether the conservative treatment of tubal pregnancy indications can be relaxed,in order to provide clinical basis for this treatment in clinical practice and guide treatment.Methods:All patients who underwent pelvic B-ultrasound and blood HCG(>2000 mIu/ml)from our hospital from January 2014 to December 2018 were selected as tubal pregnancy,and 221 patients who underwent conservative treatment for admission were retrospectively analyzed.According to the hospital admission HCG value and ?-HCG value group,detailed records of each group of clinical indicators,including hospital admission HCG and ?-HCG values,vaginal bleeding days,lower abdominal pain days,intramuscular MTX times,Chinese medicine prescription use,hospitalized affected side The size of the ectopic pregnancy in the attachment area,the size of the block after discharge,the history of abortion,the history of oral emergency contraception,the use of intrauterine IUD,the age,the length of hospital stay,etc.,the success rate of conservative treatment in each group and whether the above indicators are Relevant,while exploring the indications for conservative treatment of drugs can relax the indications.Results:In 2014-2018,221 patients were treated with conservative treatment in our hospital,191 patients were conservatively successful,and 30 patients were conservatively transferred.According to the HCG group,there were 16 patients in 2000-2099 mIu/ml,17 patients in 2100-2199 mIu/ml,18 patients in 2200-2299 mIu/ml,and 18 patients in 2300-2399 mIu/ml,2400-2499 mIu/ml.There were 21 patients,26 patients with 2500-2599mIu/ml,17 patients with 2600-2999mI/ml,35 patients with 3000-4999mI/ml,and 26 patients with 5000-7999mI/ml,more than 8000mIu/ml.For 27 cases.The ?-HCG group consisted of 9 patients in 2000-2099 mIu/ml,11 patients in 2100-2199 mIu/ml,25 patients in 2200-2299 mIu/ml,and 21 patients in 2300-2399 mIu/ml,2400-2499 mIu/ There were 23 patients with ml,20 patients with 2500-2599 mIu/ml,30 patients with 2600-2999 mIu/ml,54 patients with 3000-4999 mIu/ml,and 15 patients with 5000-7999 mIu/ml,exceeding 8000 mIu/ml.The patient was 13 patients.1.The success rate of conservative treatment of different HCG and ?-HCG subjects before admission was not the same,and the difference was statistically significant(?=0.05).2.The age,BMI,vaginal bleeding days,days of abdominal pain,days of menopause,days of menopause,and diameter of the mass before treatment were compared between the conservative patients and the conservatively failed patients.The results showed that there were no significant differences in age,BMI,vaginal bleeding days,abdominal pain days,menopause days,and pre-treatment masses between the two groups(?=0.05).3.Block changes are not one of the indicators of whether or not the conservative is successful.Among the successful conservative treatments,there were 76 people with a larger diameter after treatment.The maximum value was 24.1 mm and the minimum value was 0.1 mm.After treatment,the diameter of the mass was 50,the maximum value was 23 mm,and the minimum value was 0.6mm;overall,the diameter of the mass of the study object after conservative treatment was(-23,24.1)mm.4.In patients with successful conservative treatment,there was no significant difference in the conservative treatment time(ie,hospitalization time)between admission HCG value or ?-HCG value(?=0.05).Conclusions:1.For patients with stable vital signs,no progressive abdominal pain and signs of internal bleeding,patients with HCG and ?-HCG over indications may still consider conservative treatment of drugs.2.In the course of treatment,when observing the conservative effect of tubal pregnancy drugs,whether the diameter of the mass is reduced may not be used as an observation index.In patients with normal or near-normal ?-HCG,some patients have no significant changes in the mass at the time of discharge,and even Different magnitudes of growth.