摘要
【目的】探讨腹腔镜保守性手术治疗输卵管妊娠的临床应用价值。【方法】选择2001年1月至2006年11月接受腹腔镜保守性手术治疗的217例输卵管妊娠患者为观察组,同期开腹行保守性手术的135例输卵管妊娠患者为对照组,观察两组手术时间、术中出血量、肛门排气时间、留置尿管时间、住院时间及术后输卵管通畅情况、再次宫内妊娠率、重复异位妊娠情况等。【结果】两组术中出血量、肛门排气时间、留置尿管时间、住院时间、术后患侧输卵管通畅率和宫内妊娠率比较差异有显著性(P<0.05),手术时间、重复异位妊娠情况比较差异无显著性(P>0.05)。【结论】腹腔镜保守性手术治疗输卵管妊娠具有微创,术后恢复快及再次宫内妊娠率高的特点,对有生育要求的输卵管妊娠患者宜尽早进行腹腔镜保守性手术。
[Objective]To evaluate the clinical value of laparoscopic oviduct -sparing operation for tubal pregnancy. [Methods]A total of 352 tubal pregnancy cases were divided into the laparoscopic oviduct-sparing operation group（the study group, n = 217）and the laparotomic oviduct-sparing operation group （the control group, n = 135）. A prospective study was carried out to compare the rate of post-operative oviduct patency, re-pregnancy, re-ectopic pregnancy, operation duration, blood loss and post-operative recovery between the two groups. [Results] A significant difference was found between two groups in the rate of post-operative oviduct patency, re-pregnancy, blood loss and post-operative recovery（ P 〈0.05）. But no significant difference was found in operation duration ,the rate of re-ectopic pregnancy （ P 〉0.05）. [Conclusion] Laparoscopic oviduct-sparing operation in the treatment of tubal pregnancy is safe and mini-invasive, and has the advantage of higher re-pregnancy. The laparoscopic oviduct-sparing surgical treatment is done as soon as possible for the women with tubal pregnancy who want re-pregnancy.
出处
《医学临床研究》
CAS
2008年第3期487-489,共3页
Journal of Clinical Research
