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目的分析腹腔镜下手术治疗异位妊娠预防持续性异位妊娠(PEP)的效果。方法将50例异位妊娠患者根据随机抽样法分为观察组和对照组各25例。在经过患者和家属的同意后,对患者进行传统开腹术和腹腔镜下手术治疗。对比2种治疗方法预防PEP的效果。结果对照组25例患者中,出现PEP 1例(4.0%)。而观察组患者的手术的成功率虽然达到了100.0%,却有3例(12.0%)患者出现了持续性异位妊娠,统计学方面具有意义(P<0.0 5)。结论对异位妊娠患者进行腹腔镜手术治疗,之后发生P E P的可能性比较大,因此在治疗过程中应选择合适病例进行腹腔镜手术治疗,彻底地清除患者病灶。在治疗过程中配合使用甲氨蝶呤,可以有效预防和减少患者出现PEP。
Objective To analyze the effect of laparoscopic surgery on ectopic pregnancy to prevent persistent ectopic pregnancy (PEP). Methods Fifty cases of ectopic pregnancy were divided into observation group and control group according to random sampling method. After consenting patients and their families, patients underwent traditional laparotomy and laparoscopic surgery. Compare two kinds of treatment to prevent the effect of PEP. Results Among the 25 patients in the control group, 1 patient (4.0%) developed PEP. While in the observation group, although the success rate of surgery reached 100.0%, there were 3 cases (12.0%) of patients with persistent ectopic pregnancy, statistically significant (P <0.05). Conclusion Laparoscopic surgery for patients with ectopic pregnancy, P E P after the possibility of relatively large, so in the course of treatment should choose the appropriate case of laparoscopic surgery, the complete removal of patients with lesions. In the course of treatment with methotrexate, can effectively prevent and reduce the occurrence of PEP in patients.