Pregnancy outcome of patients receiving different treatments for tubal pregnancy

Objectives: To explore the pregnancy outcome of patients received different treatments for tubal pregnancy. Methods: A retrospective analysis was done on the 362 tubal pregnancy patients received different treatments from January 2009 to December 2012 in our hospital. There were 98 cases received expectant treatment( group A),120 cases received drug treatment( group B),and 144 cases received surgical treatment of( group C).The birth outcomes were followed up for 2 years. Results: After treatment,average time of HGG dropping to the normal value in group A,B,C were( 26. 6 ± 11. 5) d,( 11. 5 ± 3. 0) d and( 13. 1 ± 2. 1) d,respectively.There were significant differences between the three groups( P 0. 05). The patients of group A were significantly different patients of group B and C( P 0. 05),but there was no significant difference between group B and group C( P 0. 05); the tubal patency rate of group A,B and C was 38. 6%,69. 8% and 75. 4%,respectively,withsignificant differences among the three groups( P 0. 05). The 2-year pregnancy rate of group A,B,C was57. 1%,72. 5% and 80. 6% respectively,with significant differences among three groups( P 0. 05); the repeated ectopic pregnancy rate of the three groups was 18. 4%,12. 5% and 18. 4% respectively; Secondary infertility rates of the three groups was 24. 5%,15. 0% and 9. 7%,respectively. The difference between patients of group A and patients of group B and C was statistically significant( P 0. 05). Conclusion: The therapeutic effect of drug therapy is obviously better than expectant treatment,and the effect of surgical treatment is better than drug therapy.Appropriate treatment methods should be chosen in accordance with the requirements of patients.