摘要
目的比较腹腔镜保守手术和甲氨蝶呤保守治疗异位妊娠临床疗效。方法 94例患者分为腹腔镜保守手术治疗组(A组46例)和化学药物保守治疗组(B组48例),比较两组住院天数、出院时血HCG值、患侧输卵管通畅率、再次宫内妊娠率及再次异位妊娠率等。结果 A组较B组住院天数短,分别为(5.5±2.1)d与(18.3±5.4)d,P<0.05;3个月后患侧输卵管通畅率高(分别为91.3%与70.8%,P<0.05);再次宫内妊娠机会大(分别为68.8%与46.5%,P<0.05);而再次异位妊娠发生率无差异(分别为23.9%与25.0%,P>0.05)。结论腹腔镜保守手术治疗异位妊娠有疗效高、住院时间短、远期并发症少、再次宫内妊娠率高等优点,值得推广应用。
Objective To compare the clinical effect between laparoscopic oviduct-sparing operation and methotrexate in treatment of ectopic pregnancy.Methods A total of 94 patients with ectopic pregnancy were divided into two groups.Group A was treated with laparoscopic oviduct-sparing operation,and group B was treated with methotrexate.The clinical information was compared.Results Group A showed significant differences with group B in shortening the time of hospitalization with(5.5±2.1) and(18.3±5.4) days respectively,(P<0.05),decreasing the level of HCG on the discharge day with 91.3% and 70.8%,respectively,(P<0.05),and increasing the chance of re-pregnancy with 68.8% and 46.5% respectively,(P<0.05).But had no significant effect on preventing the same side re-ectopic pregnancy with 23.9% and 25.0% respectively,(P>0.05).Conclusion Laparoscopic oviduct-sparing operation in treatment of ectopic pregnancy has the advantages of rapid therapy,treating time shortage,and higher re-pregnancy chance,and it is worth applying in practice.
出处
《黑龙江医学》
2013年第5期333-335,共3页
Heilongjiang Medical Journal
关键词
异位妊娠
腹腔镜保守手术
甲氨蝶呤保守治疗
Ectopic pregnancy
Laparoscopic oviduct-sparing operation
Methotrexate conservative treatment
