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目的探讨手术治疗输卵管异位妊娠的临床效果。方法选取2010年至2012年间于我院治疗输卵管异位妊娠患者为研究对象,根据患者个人情况和自主意愿选择不同的治疗方案。其中59例患者采用手术治疗,包括输卵管部分切除+吻合术患者27例为A组,输卵管挤压+胚胎清除术32例为B组。另有82例患者选择药物保守治疗为C组。观察三组患者的临床治疗效果。结果手术治疗的临床有效率比药物治疗高,差异明显;而手术组内对比中,有效率差异不大,但手术时间和手术出血的对比,B组有明显优势。结论手术治疗是治疗输卵管异位妊娠的首选方案,在输卵管异位妊娠手术中,输卵管挤压+胚胎清除术在手术损伤方面,有一定优势。
Objective To investigate the clinical effect of surgical treatment of tubal ectopic pregnancy. Methods From 2010 to 2012 in our hospital treatment of tubal ectopic pregnancy as the research object, according to the patient’s personal circumstances and independent wishes to choose a different treatment options. Among them, 59 cases were treated by surgery, including 27 cases with partial tubal resection and anastomosis as group A, and 32 cases with tubal extrusion and embryo removal as group B. Another 82 patients selected drug conservative treatment for the C group. Three groups of patients observed the clinical effect. Results The clinical effective rate of surgical treatment was higher than that of drug treatment, and the difference was obvious. However, there was no significant difference in the effective rate between the two groups. However, the comparison between operation time and surgical bleeding showed that B group had obvious advantages. Conclusion Surgical treatment is the first choice for the treatment of tubal ectopic pregnancy. In tubal ectopic pregnancy operation, tubal extrusion and embryo removal have some advantages in surgical injury.