摘要
目的:探讨输卵管妊娠不同的保守治疗方法对保留患者生育功能的疗效及生殖状态的影响。方法:对于有生育要求的238例异位妊娠患者,按照不同的治疗方法分为3组,腹腔镜手术组109例(腹腔镜组),开腹手术组54例(开腹组),药物保守治疗组75例(药物组),比较3组患侧输卵管通畅率、术后宫内妊娠及再次异位妊娠的情况。结果:腹腔镜组治疗后输卵管通畅率均高于开腹组和药物组(P<0.05),而腹腔镜组宫内妊娠率高于开腹组(P<0.05),3组再次异位妊娠发生率差异无统计学意义(P>0.05)。结论:腹腔镜下输卵管异位妊娠的综合治疗适合于有保留生育功能要求的输卵管妊娠患者。
Objective：To explore the effects of tubal pregnancy treated with different conservative methods on the patient＇s fecundity and reproductive function. Methods： Two hundred and thirty-eight ectopic pregnancy patients with fertility requirement were divided into laparoscopic surgery group（ 109 cases）, laparotomy group （ 54 cases） and drug treatment group （ 75 cases ） according to the treatment method. The rates of tubal patency, intrauterine pregnancy and recurrent tubal pregnancy in three groups were compared. Results. After laparoscopic treatment, tubal patency rate and the intrauterine pregnancy rate is higher than laparotomy group and drug group （P 〈 0.05）. All three groups had no statistically significant difference in the rate of recurrent tubal pregnancy （P 〉 0.05 ）. Conclusions ： Comprehensive treatment of laparoscopic tubal pregnancy suitable for patients with fertility requirements.
出处
《蚌埠医学院学报》
CAS
2014年第4期456-458,共3页
Journal of Bengbu Medical College
