论文部分内容阅读
目的分析药物治疗、腹腔镜手术、开腹手术对输卵管妊娠患者妊娠结局的影响。方法 273例输卵管妊娠患者,根据治疗方法不同分为药物治疗组、腹腔镜手术组、开腹手术组,每组91例。比较各组患者的输卵管通畅情况及妊娠结局。结果腹腔镜手术组、开腹手术组、药物治疗组输卵管通畅率分别为97.80%、70.33%、48.35%,腹腔镜手术组输卵管通畅率明显高于开腹手术组及药物治疗组(P<0.05);腹腔镜手术组异位妊娠率、继发不孕率明显低于开腹手术组及药物治疗组(P<0.05)。结论腹腔镜手术可明显改善输卵管妊娠患者的妊娠结局,是该病治疗的首选方案。
Objective To analyze the effect of drug treatment, laparoscopic surgery and laparotomy on pregnancy outcome in patients with tubal pregnancy. Methods 273 cases of tubal pregnancy patients, according to different treatment methods were divided into drug treatment group, laparoscopic surgery group, open surgery group, 91 cases in each group. Tubal patency and pregnancy outcomes were compared between groups. Results The rates of tubal patency in laparoscopic surgery group, laparotomy group and drug treatment group were 97.80%, 70.33% and 48.35%, respectively. The tubal patency rate in laparoscopic surgery group was significantly higher than that in open surgery group and drug treatment group (P <0.05) ). The rate of ectopic pregnancy and secondary infertility in laparoscopic surgery group was significantly lower than that in open surgery group and drug treatment group (P <0.05). Conclusion Laparoscopic surgery can significantly improve pregnancy outcomes in patients with tubal pregnancy, is the treatment of choice for the disease.