论文部分内容阅读
目的:分析比较药物治疗与腹腔镜保守性手术治疗异位妊娠的临床效果,探讨腹腔镜保守性手术治疗异位妊娠的应用价值。方法:从我院异位妊娠患者中选取74例,按治疗方法分为治疗组(采用腹腔镜保守性手术治疗)和对照组(采用药物保守治疗),各37例,对比两组患者住院时间、出院时HCG值、再次宫内妊娠率和盆腔炎发生率。结果:治疗组患者住院时间为(8.92±2.41)d,出院时HCG为(292.31±221.51)U/L,再次宫内妊娠率为62.16%(23/37),盆腔炎发生率10.81%(4/37)同对照组患者的住院时间为(19.62±9.65)d、出院时HCG为(561.24±420.11)U/L、再次宫内妊娠率为35.14%和盆腔炎发生率59.46%相比,P<0.05。结论:腹腔镜手术治疗异位妊娠的临床疗效优于常规药物治疗,值得临床推广应用。
OBJECTIVE: To analyze the clinical effects of drug treatment and laparoscopic conservative surgery on ectopic pregnancy, and to explore the value of laparoscopic conservative surgery for ectopic pregnancy. Methods: Seventy-four cases of ectopic pregnancy were selected from our hospital and divided into treatment group (conservative surgery with laparoscopy) and control group (conservative treatment with drugs), 37 cases in each group. The hospitalization time , HCG value at discharge, again intrauterine pregnancy and pelvic inflammatory disease. Results: The hospitalization time was (8.92 ± 2.41) d in the treatment group and (292.31 ± 221.51) U / L at the discharge. The intrauterine pregnancy rate was 62.16% (23/37) and the incidence of pelvic inflammatory disease was 10.81% (4 / 37) compared with the control group was (19.62 ± 9.65) d, HCG discharge was (561.24 ± 420.11) U / L, intrauterine pregnancy rate was 35.14% and pelvic inflammatory disease rate was 59.46% <0.05. Conclusion: The clinical efficacy of laparoscopic surgery for ectopic pregnancy is superior to conventional drug therapy, which is worthy of clinical application.