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目的探讨输卵管妊娠的合理治疗方法。方法 120例因异位妊娠行腹腔镜手术治疗患者,其中输卵管保守性手术76例(保守性手术组),根治性手术44例(根治性手术组)。比较住院时间、住院费用及治疗后宫内妊娠率、再次异位妊娠率。结果保守性手术组住院时间及住院费用高于根治性手术组(P<0.05),保守性手术组宫内妊娠率(81.58%)与根治性手术组(63.64%)比较差异无统计学意义(P>0.05)。结论保守性手术维持输卵管的完整性,保留了患者输卵管,对同侧卵巢影响小,从而增加了术后宫内妊娠的几率。根治性手术虽有较低的术后宫内妊娠率,但费用较低,住院时间短,可作为无生育要求妇女的首选。
Objective To investigate the reasonable treatment of tubal pregnancy. Methods One hundred and twenty patients underwent laparoscopic surgery for ectopic pregnancy. Among them, conservative surgery for tubal was performed in 76 patients (conservative surgery group) and radical surgery in 44 patients (radical surgery group). Comparison of hospital stay, hospitalization costs and intrauterine pregnancy after treatment, ectopic pregnancy rate again. Results The length of hospital stay and hospitalization in the conservative surgery group were significantly higher than those in the radical surgery group (81.58% vs. 63.64%, respectively) (P <0.05). There was no significant difference in the intrauterine pregnancy rate between the conservative surgery group and the radical surgery group (63.64% P> 0.05). Conclusions Conservative surgery to maintain the integrity of the fallopian tube, the patient retained the fallopian tubes, the ipsilateral ovarian little effect, thereby increasing the chances of intrauterine pregnancy. Although radical surgery has a lower intrauterine pregnancy rate, but lower costs, shorter hospital stay, can be used as the first choice for women without childbearing.