[Advances in diagnosis and treatment of ectopic pregnancy during the past ten years].
OBJECTIVE
To investigate the changes of diagnosis and treatment of ectopic pregnancy (EP) during the past ten years.


METHODS
Medical records of 1,970 cases with EP seen in our hospital from Jan. 1987 to Dec. 1996 were collected and analyzed retrospectively.


RESULTS
(1) The incidence of EP increases from 1.0 per 42.4 labours during 1987-1988 to 1.0 per 6.6 labours in 1995-1996. (2) Diagnosis was confirmed more by television laparoscopy, transvaginal ultrasonography and sensitive human chorionic gonadotropin-beta subunit assay rather than loparotomy and with a shorter period, (6.5 +/- 0.7) days in 1987-1988 versus (3.7 +/- 0.2) days in 1995-1996. (3) The choice of treatment was more conservative or through laparoscopic surgery than abdominal salpingectomy. (4) The success rate of conservative surgery expectant management reached 100.0% and medical treatment with a variety of choices around 80.0%-85.%.


CONCLUSIONS
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.
Feng
W
W
Department of Gynecology, Obstetrics and Gynecology Hospital of Shanghai Medical University, Shanghai 200011, China.
Cao
B
B
Li
Q
Q
D005260:Female; D006801:Humans; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D013997:Time Factors
D008727:Methotrexate